What is the recommendation for statin therapy after a STEMI?
The writing committee recommends the use of statins in all patients with STEMI. Statin therapy after ACS is beneficial even in patients with baseline low-density lipoprotein cholesterol levels <70 mg/dL. Trials of statin therapy in patients with ACS and stable ischemic heart disease have been designed to compare either more intensive versus less intensive statin treatment or active statin versus placebo. Improved compliance with therapy is a strong rationale for timing the initiation of lipid-lowering drug therapy before discharge after STEMI.