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040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.11.04.M.Sc.2021.No.E
100 0 _aNouran Hisham Tharwat Salama
245 1 0 _aEffect of statin therapy on CPK in elderly /
_cNouran Hisham Tharwat Salama ; Supervised Hesham Salah Eldin Taha , Mohamed Ossama Taha , Waleed Abdelsalam Ammar
246 1 5 _aتأثير عقار الستاتين على انزيم الكرياتين فوسفوكاينيز فى كبار السن
260 _aCairo :
_bNouran Hisham Tharwat Salama ,
_c2021
300 _a121 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Cardiology
520 _aBackground: Statin therapy is the cornerstone of treatment of Hypercholesterolemia. However, side effects like CPK elevation and muscle symptoms like myalgia, myopathy up to Rhabdomyolysis may occur especially in the elderly. Objective: to assess the level of CPK in elderly patients using statins in a real life settings whether the patient had muscle symptoms or not. Methods: Patients aged 65 years old or over will be divided into 2 Groups: Group 1: comprising 900 patients on moderate to high intensity statin therapy for at least 6 weeks. Group 2: 100 age and gender matched individuals not on statin therapy as a control group. A simple Questionnaire was prepared to assess muscle symptoms of the patients and related CPK elevation. Results: 5.1% of the study group had muscle symptoms and CPK elevation, the majority of them had CPK elevation with muscle symptoms (60.8%), muscle symptoms without CPK elevation occurred in (39.1%) while only (6.5%) had CPK elevation without muscle symptoms. Simvastatin was the most associated type with CPK elevation and/or muscle symptoms, accounting for 15.6 % of the patients used this type. DM & IHD turned out to be important predictors for CPK elevation, accounting for 65.2% and 71.7% respectively
530 _aIssued also as CD
653 4 _aCPK elevation & muscle symptom
653 4 _aElderly
653 4 _aStatins
700 0 _aHesham Salah Eldin Taha ,
_eSupervisor
700 0 _aMohamed Ossama Taha ,
_eSupervisor
700 0 _aWaleed Abdelsalam Ammar ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c83601
_d83601