PMID- 37750649 OWN - NLM STAT- MEDLINE DCOM- 20230927 LR - 20231019 IS - 2284-0729 (Electronic) IS - 1128-3602 (Linking) VI - 27 IP - 17 DP - 2023 Sep TI - Effect of Ezetimibe combined with Simvastatin in the treatment of coronary heart disease: a retrospective analysis. PG - 8212-8217 LID - 33581 [pii] LID - 10.26355/eurrev_202309_33581 [doi] AB - OBJECTIVE: The aim of this study was to explore the effect of Ezetimibe combined with Simvastatin in the treatment of coronary heart disease (CHD). PATIENTS AND METHODS: Clinical data of 101 patients with CHD, admitted to our hospital from February 2022 to May 2023, were retrospectively analyzed. Among them, 49 patients received Simvastatin (Simvastatin group), and 52 patients received Simvastatin+Ezetimibe (Simvastatin+Ezetimibe group). Levels of blood lipid indicators, inflammatory factors, cardiac function indicators, and incidences of major adverse cardiovascular events (MACE) between the two groups were compared before and after the treatment. RESULTS: After the treatment, high-density lipoprotein cholesterol (HDL-C), cardiac index (CI), and left ventricular ejection fraction (LVEF) in both groups were higher than those before the treatment, and overall higher in the Simvastatin+Ezetimibe group. Levels of low-density lipoprotein-cholesterol (LDL-C), triglycerides (TG), total cholesterol (TC), monocyte chemoattractant protein-1 (MCP-1), chemokine ligand 19 (CCL19), high sensitivity C-reactive protein (hs-CRP), cardiac output (CO) in the two groups were lower than before the treatment. These indexes were significantly lower in the Simvastatin+Ezetimibe group (p<0.05) compared to the Simvastatin group. During the treatment, the incidence of MACE in the Simvastatin+Ezetimibe group (3.85%) was significantly lower than that in the Simvastatin group (16.33%) (p<0.05). CONCLUSIONS: Compared with Simvastatin alone, a combination of Ezetimibe and Simvastatin can more effectively regulate the level of blood lipids, reduce the inflammatory reaction in the body, improve heart function, and lower the risk of MACE. FAU - Li, B AU - Li B AD - Department of Biochemistry and Molecular Biology, The Key Laboratory of Neural and Vascular Biology, China Administration of Education, Hebei Medical University, Shijiazhuang, Hebei Province, China. xuzeshengcz@163.com. FAU - Li, Y AU - Li Y FAU - Peng, W-Z AU - Peng WZ FAU - Liu, Y-Q AU - Liu YQ FAU - Xu, Z-S AU - Xu ZS FAU - Wen, J-K AU - Wen JK LA - eng PT - Journal Article PL - Italy TA - Eur Rev Med Pharmacol Sci JT - European review for medical and pharmacological sciences JID - 9717360 RN - 9007-41-4 (C-Reactive Protein) RN - 0 (Cholesterol, HDL) RN - EOR26LQQ24 (Ezetimibe) SB - IM MH - Humans MH - Retrospective Studies MH - Stroke Volume MH - *Ventricular Function, Left MH - *Coronary Disease/drug therapy MH - C-Reactive Protein MH - Cholesterol, HDL MH - Ezetimibe/therapeutic use EDAT- 2023/09/26 13:43 MHDA- 2023/09/27 06:42 CRDT- 2023/09/26 08:33 PHST- 2023/09/27 06:42 [medline] PHST- 2023/09/26 13:43 [pubmed] PHST- 2023/09/26 08:33 [entrez] AID - 33581 [pii] AID - 10.26355/eurrev_202309_33581 [doi] PST - ppublish SO - Eur Rev Med Pharmacol Sci. 2023 Sep;27(17):8212-8217. doi: 10.26355/eurrev_202309_33581.