Statins in Patients With Renal Dysfunction




Lim et al support statin treatment in stages 4 and 5 of chronic kidney disease in Korean patients with acute myocardial infarction. We reported improvement of renal function related to clinical (cardiovascular events) benefit in patients with stable coronary heart disease and chronic kidney disease up to stage 3. The Treating to New Targets trial confirmed these findings. We also reported benefits in primary prevention. Therefore, statins seem to offer protection in terms of vascular events across several stages of chronic kidney disease and in coronary heart disease ranging from acute myocardial infarction to stable coronary heart disease and primary prevention.


References



  1. 1. Lim S.Y., Bae E.H., Choi J.S., Kim C.S., Park J.W., Ma S.K., Jeong M.H., and Kim S.W.: Effect on short- and long-term major adverse cardiac events of statin treatment in patients with acute myocardial infarction and renal dysfunction. Am J Cardiol 2012; 109: pp. 1425-1430

  2. 2. Athyros V.G., Mikhailidis D.P., Papageorgiou A.A., Symeonidis A.N., Pehlivanidis A.N., Bouloukos V.I., and Elisaf M.: The effect of statins versus untreated dyslipidaemia on renal function in patients with coronary heart disease. J Clin Pathol 2004; 57: pp. 728-734

  3. 3. Shepherd J., Kastelein J.J., Bittner V., Deedwania P., Breazna A., Dobson S., Wilson D.J., Zuckerman A., and Wenger N.K.: Intensive lipid lowering with atorvastatin in patients with coronary heart disease and chronic kidney disease: the TNT (Treating to New Targets) study. J Am Coll Cardiol 2008; 51: pp. 1448-1454

  4. 4. Athyros V.G., Karagiannis A., Ganotakis E.S., Paletas K., Nicolaou V., Bacharoudis G., Tziomalos K., Alexandrides T., Liberopoulos E.N., and Mikhailidis D.P.: Association between the changes in renal function and serum uric acid levels during multifactorial intervention and clinical outcome in patients with metabolic syndrome. Curr Med Res Opin 2011; 27: pp. 1659-1668

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Dec 15, 2016 | Posted by in CARDIOLOGY | Comments Off on Statins in Patients With Renal Dysfunction

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