Overview

Effect of Statin Treatment on Insulin Sensitivity During Myocardial Infarction

Status:
Completed
Trial end date:
2013-09-01
Target enrollment:
0
Participant gender:
All
Summary
Stress hyperglycemia during myocardial infarction (MI) is related to mortality at short and long term. Recent studies, however, revealed that chronic statin treatment may decrease both insulin sensitivity and secretion immediately after statin therapy initiation. This study aim was to investigate the dose-dependent effect of statins on insulin sensitivity in patients in the acute phase of MI.
Phase:
Phase 4
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Brasilia Heart Study Group
Treatments:
Insulin
Simvastatin
Criteria
Inclusion Criteria:

- Less than 24 hours after the onset of MI symptoms

- ST-segment elevation of a least 1 mm (frontal plane) or 2 mm (horizontal plane) in two
contiguous leads

- Myocardial necrosis, as evidenced by increased Creatine Kinase-MB (CK-MB) and troponin
levels

Exclusion Criteria:

- Diabetes or prior use of statins in the last 6 months