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dc.date.accessioned2016-04-20T14:02:28Z
dc.date.available2016-04-20T14:02:28Z
dc.date.issued2014
dc.identifier.urihttp://hdl.handle.net/10852/50121
dc.description.abstractBackground Dilated cardiomyopathy is characterized by left ventricular dilatation and dysfunction. Inflammation and adverse remodeling of the extracellular matrix may be involved in the pathogenesis. Statins reduce levels of low density lipoprotein cholesterol, but may also attenuate inflammation and affect matrix remodeling. We hypothesized that treatment with rosuvastatin would reduce or even reverse left ventricular remodeling in dilated cardiomyopathy. Materials and Methods In this multicenter, randomized, double blind, placebo-controlled study, 71 patients were randomized to 10 mg of rosuvastatin or matching placebo. Physical examination, blood sampling, echocardiography and cardiac magnetic resonance imaging were performed at baseline and at six months’ follow-up. The pre-specified primary end point was the change in left ventricular ejection fraction from baseline to six months. Results Over all, left ventricular ejection fraction improved 5 percentage points over the duration of the study, but there was no difference in the change in left ventricular ejection fraction between patients allocated to rosuvastatin and those allocated to placebo. Whereas serum low density lipoprotein cholesterol concentration fell significantly in the treatment arm, rosuvastatin did not affect plasma or serum levels of a wide range of inflammatory variables, including C-reactive protein. The effect on markers of extracellular matrix remodeling was modest. Conclusion Treatment with rosuvastatin does not improve left ventricular ejection fraction in patients with dilated cardiomyopathy.en_US
dc.language.isoenen_US
dc.relation.ispartofBroch, Kaspar (2016) Dilated cardiomyopathy: diagnostic work-up, pathogenesis, prognosis and treatment. Doctoral thesis. http://urn.nb.no/URN:NBN:no-53790
dc.relation.urihttp://urn.nb.no/URN:NBN:no-53790
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.titleThe Effect of Rosuvastatin on Inflammation, Matrix Turnover and Left Ventricular Remodeling in Dilated Cardiomyopathy: A Randomized, Controlled Trialen_US
dc.typeJournal articleen_US
dc.creator.authorBroch, Kaspar
dc.creator.authorAskevold, Erik Tandberg
dc.creator.authorGjertsen, Erik
dc.creator.authorUeland, Thor
dc.creator.authorYndestad, Arne
dc.creator.authorGodang, Kristin
dc.creator.authorStueflotten, Wenche
dc.creator.authorAndreassen, Johanna
dc.creator.authorSvendsmark, Rolf Georg
dc.creator.authorSmith, Hans-Jørgen
dc.creator.authorAakhus, Svend
dc.creator.authorAukrust, Pål
dc.creator.authorGullestad, Lars
dc.identifier.jtitlePLoS ONE
dc.identifier.volume9
dc.identifier.issue2
dc.identifier.doihttp://dx.doi.org/10.1371/journal.pone.0089732
dc.identifier.urnURN:NBN:no-53787
dc.type.documentTidsskriftartikkelen_US
dc.type.peerreviewedPeer reviewed
dc.identifier.fulltextFulltext https://www.duo.uio.no/bitstream/handle/10852/50121/1/journal-pone-0089732.pdf
dc.type.versionPublishedVersion
cristin.articleide89732


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