Long time ago
lipids increased in blood have been known as risk factor for
atherosclerosis that causes
coronary heart disease among which
myocardial infarction is the most complicated. Aim were to present the
lipids status structure in patients with acute
myocardial infarction and on the basis of that to suggest corresponding
statin in treatment. Our research involved 202 patients with acute
myocardial infarction, patients were both gender and from 37 to 89 year. Out of total number of patients, 100 of them were with anterior
myocardial infarction (group I) and 102 with
inferior myocardial infarction (group II). Whole
cholesterol,
low density lipoproteins,
high density lipoproteins and
triglycerides were followed. Hi square test and variance analysis were used to prove statistically significant difference. In the sample of group I increased
LDL was found in 92 patients and increased TGL in 46 patients while decreased HDL was found in 61 patients. In the sample of group II increased
LDL was found in 64 patients, increased TGL in 44 patients, while decreased HDL was found in 51 patients. We analysed the next combinations in both groups:
LDL > with HDL <;
LDL > with TGL >; HDL < with TGL >;
LDL >, TGL > with HDL <. Combination decreased HDL with increased TGL was found in group I in 5 patients, and in group II in 12 patients. Other combinations in both groups were similarly values. On the basis of the obtained results we found statistically significant difference between the two groups of patients. Patients in group I have more frequently increased values of
LDL in comparison to patients in group II (p < 0.00005). In patients in group II who had decreased HDL and increased TGL statistically significant difference was found in comparison to the patients in group I (p < 0.02). On the basis of the obtained results and up to now studies on
statins effects we suggest
Atorvastatin for treatment the patients with anterior
myocardial infarction, increased
LDL with normal values of HDL and
Simvastatin for treatment the patients with
inferior myocardial infarction, decreased HDL.