How do you decide between atorvastatin versus rosuvastatin and their high-intensity doses for statin-naive patients following a STEMI and PCI?

20 mg of Crestor is highly effective and tolerable.

Post STEMI and PCI, the patient should be started on high-intensity dose even if statin-native at that time. That means rosuvastatin 40 mg or atorvastatin 80 mg, in general. There are some exceptions, such as underlying liver disease or CKD. My nephrology colleagues tend to favor atorvastatin becaus...

I was not aware of the connection between rosuvastatin and renal disease.

Rosuvastatin is usually tolerated the same as atorvastatin, but rosuvastatin has a greater potential to lower LDL. Initially, when rosuvastatin was released, there was a very small potential to cause proteinuria; however, over the years, this finding has become clinically insignificant.