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November 1, 2003Canadian Journal of Physiology and Pharmacology

Effects of statins on myocardial and coronary artery response to ischemia-reperfusion

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Key result

Three weeks of statin treatment in pigs did not significantly alter percent recovery of regional ventricular function after ischemia-reperfusion compared to control (e.g., atorvastatin 24% vs control 36%).

Why the study?

Do statins affect ventricular recovery and coronary vasodilation following ischemia-reperfusion in a porcine model?

Population

Farm pigs (n=23)

Comparison

Chow supplemented with atorvastatin… vs No statin (control) for 3 weeks

Design

Preclinical

Follow-up

3 weeks

Authors

SRS. V. RendigJSJ. David SymonsEAEzra A. Amsterdam

Discussion

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Overview

Statin pretreatment did not impair post-ischemic ventricular recovery in pigs but augmented coronary vasodilation; leaves open human translation.

Structured PICO

Do statins affect ventricular recovery and coronary vasodilation following ischemia-reperfusion in a porcine model?

P
Population
23 farm pigs subjected to myocardial ischemia-reperfusion after 3 weeks of statin or control diet.
I
Intervention
Chow supplemented with atorvastatin (2.5 mg/kg/d), pravastatin (10 or 20 mg/kg/d), or simvastatin (5 mg/kg/d) for 3 weeks
C
Comparator
No statin (control) for 3 weeks
O
Outcome
Recovery of regional (% segment shortening) and global (dP/dt max) left ventricular function during coronary artery occlusion and reperfusion, and vasodilation of isolated coronary arteriessurrogate

In a porcine model, 3-week statin treatment did not impair myocardial recovery from ischemia-reperfusion but augmented endothelium-dependent vasodilation of coronary conductance vessels.

Cite This Study

Rendig et al. (2003) studied Myocardial ischemia-reperfusion (n=23). Statins (atorvastatin, pravastatin, simvastatin) vs. no statin (control) was evaluated on percent recovery of regional ventricular function at 30 min reperfusion. Three weeks of statin treatment in pigs did not significantly alter percent recovery of regional ventricular function after ischemia-reperfusion compared to control (e.g., atorvastatin 24% vs control 36%).

synapsesocial.com/papers/6a86f12ded1c9801b3cf90d5https://doi.org/10.1139/y03-105
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Simvastatin Preserves the Ischemic-Reperfused Myocardium in Normocholesterolemic Rat Hearts1999 · 327 citations
  2. 2Lipophilic HMG-CoA Reductase Inhibitors Increase Myocardial Stunning in Dogs2000 · 47 citations
  3. 3Simvastatin, an HMG–Coenzyme A Reductase Inhibitor, Improves Endothelial Function Within 1 Month1997 · 957 citations
  4. 4Cholesterol Reduction Rapidly Improves Endothelial Function After Acute Coronary Syndromes1999 · 513 citations
  5. 5Prolonged impairment of coronary vasodilation after reversible ischemia. Evidence for microvascular "stunning".1990 · 220 citations