Angioscopic Evaluation of Stabilizing Effects of Bezafibrate on Coronary Plaques in Patients with Coronary Artery Disease
2000

Effects of Bezafibrate on Coronary Plaques

Sample size: 32 publication Evidence: moderate

Author Information

Author(s): Yasumi Uchida, Yoshiharu Fujimori, Hidefumi Ohsawa, Jyunichi Hirose, Hirofumi Noike, Keiichi Tokuhiro, Masahito Kanai, Masaki Yoshinuma, Kazuhito Mineoka, Takashi Hitsumoto, Kaneyuki Aoyagi, Takeshi Sakurai, Shin Sato, Kokushi Yoshinaga, Masaaki Ozegawa, Hiroshi Mori, Katsumi Yamada, Kimiko Terasawa, Yuuko Uchida, Tomomitsu Oshima

Primary Institution: Toho University Hospital at Sakura; Narita Red Cross Hospital; Funabashi-Futawa Hospital

Hypothesis

Does bezafibrate stabilize vulnerable coronary plaques in patients with coronary artery disease?

Conclusion

Bezafibrate can stabilize coronary plaques over a six-month period.

Supporting Evidence

  • Vulnerability score in the bezafibrate group decreased from 1.6 to 0.8.
  • The control group's vulnerability score remained unchanged.
  • Bezafibrate treatment was associated with a significant reduction in plaque vulnerability.

Takeaway

This study found that a medicine called bezafibrate helps make heart plaques less dangerous over time.

Methodology

A prospective angioscopic open trial with 32 patients divided into control and bezafibrate groups, evaluating plaque vulnerability scores before and after treatment.

Limitations

The study was limited to plaques in segments without significant stenoses, and the effects on significantly stenotic segments remain unclear.

Participant Demographics

Patients included 10 in the control group and 14 in the bezafibrate group, with a mean age of around 63 years.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

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