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Published on: November 10, 2017
The role of statins in vascular disease
P E Laws1, J I Spark, P A Cowled
1Department of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, Woodville, SA, Australia.
Insights
Statins offer significant benefits for vascular disease by improving endothelial function and inhibiting atherosclerosis. This review supports their use in managing conditions like hypercholesterolemia and preventing cardiac events.
Area of Science:
- Cardiovascular Medicine
- Pharmacology
Background:
- Statins demonstrate efficacy in non-cardiac occlusive diseases.
- Vascular surgeons often overlook atherosclerosis risk factors like hypercholesterolemia.
Purpose of the Study:
- To review experimental and clinical evidence on statin use in vascular disease.
- To address the underrecognition of hypercholesterolemia in vascular surgery.
Main Methods:
- Comprehensive literature search of Medline and Cochrane databases.
- Systematic review of experimental and clinical studies.
Main Results:
- Statins improve endothelial dysfunction, inflammation, proliferation, thrombosis, and proteolysis.
- Evidence supports statin use in primary and secondary cardiac event prevention.
- Statins inhibit atherogenesis and enhance plaque stability.
Conclusions:
- Substantial evidence supports statin use in patients with significant vascular disease.
- Future applications may include neointimal hyperplasia, aneurysmal disease, and ischemia-reperfusion injury.
Background:
Recent publications have highlighted the benefits of statins in non-cardiac occlusive disease but also the failure of vascular surgeons to recognise and treat the risk factors for atherosclerosis, in particular hypercholesterolaemia. The aim of this review is to clarify the current experimental and clinical evidence for the use of statins in vascular disease.
Methods:
Literature compiled from an extensive search of Medline and the Cochrane database has been used for the basis of this review.
Results:
Experimental and clinical evidence consistently reports that statins improve endothelial dysfunction, are anti-inflammatory, anti-proliferative, anti-thrombogenic and anti-proteolytic. These effects are known to inhibit atherogenesis and improve plaque stability. Independent groups support the use of statins in the prevention of both primary and secondary cardiac events. The National Stroke association recommends their use to reduce strokes following myocardial infarction and the Heart Protection Study reports benefits in patients with non-cardiac occlusive disease.
Conclusions:
There is substantial evidence advocating the use of statins in patients with clinically significant vascular disease. In the future this may evolve to include those patients at risk from neointimal hyperplasia, aneurysmal disease and ischaemia reperfusion injury.
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