Statin Eligibility Prior to Myocardial InfarCtion

NCT03485742 — Terminated, 740 participants, Jordan Collaborating Cardiology Group

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Statin Eligibility Prior to Myocardial InfarCtion in Jordanians

RegistryNCT03485742, acronym StatinEPIC
StatusTerminated - We recruited a target number (740 patients) earlier than the expected day of copletion
Study typeObservational
Enrollment740 (Actual)
SponsorJordan Collaborating Cardiology Group (Other)
ConditionsStatins, Myocardial Infarction
InterventionsNo intervention (Other)
Datesstart 2019-04-22, primary completion 2019-06-10, completion 2019-06-10, first posted 2018-04-02, last updated 2019-06-26
Locations5 sites in Jordan

Related Papers Related Patents Related Grants Related Experts
All trials for Statins All trials for Myocardial Infarction All trials of No intervention

-Summary

The study (Statin Eligibility Prior to myocardial infarction (MI) in Jordanians, StatinEPIC) is

1. Cross sectional
2. Non interventional
3. One encounter per patient. No follow up. It addresses a major issue of primary prevention in Jordanians especially the young population, namely the issue of lipid lowering agents before sustaining an acute MI. A recent study in USA showed that 50% of patients who sustained MI were not eligible to statins had they been evaluated before the heart attack. It is largely unknown if a larger percentage of Middle Eastern patients who sustain a heart attack would be eligible to receive lipid lowering agents.
4. The PI will overlook the whole process. Dr Ahmad Tamari, the assistant to the PI will asses this whole process of data collection, management and manuscript drafting.

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+Detailed description

Statins, when use as primary cardiovascular prevention strategy, have been shown to lower future acute cardiovascular events, especially myocardial infarction. However the use of statins in this context (i.e., primary prevention) is governed by guidelines that limit the use of statins to four high risk populations: (1) hose with known cardiovascular disease, (2) those with low-density lipoprotein cholesterol (LDL-C) levels 190 mg/dl or above, (3) diabetics with LDL-C levels 70-189 mg/dl, and (4) those with an estimated 10-year atherosclerotic cardiovascular disease risk score of 7.5% or more.

Unfortunately, some individuals are still at risk of sustaining MI despite the fact that they do not fit into one of these four high risk groups eligible for statins.

StainEPIC will enroll consecutive patients admitted with MI who are not on statins to examine their eligibility for these medications based on the AHA/ACC guidelines.

+Arms and interventions

  • No intervention (Other): No intervention. Collection of data on statin eligibility in patients admitted with MI

+Outcome measures

Primary outcomes

  • Eligible patients for statin therapy [Within 24 hour of enrollment]: The primary outcome is to calculate the percentage of enrolled patients who do meet the AHA/ACC Guidelines for receiving statins as a primary prevention measure.

+Eligibility

Sex: All, ages: 30 Years to 75 Years

Inclusion Criteria:

* Adults admitted with MI, age 30 to 75
* known lipid profile

Exclusion Criteria:

* on statin before enrollment

+Locations (5)

FacilityCityCountryStatus
Istishari HospitalAmmanJordan
The University of JordanAmmanJordan
Jordan HospitalAmmanJordan
Khalidi Hospital & Medical CenterAmmanJordan
King Abdullah University HospitalIrbidJordan

+Investigators