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Published on: November 10, 2017
The effect of statins in heart failure: beyond its cholesterol-lowering effect
Kizhake C Kurian1, Prithviraj Rai, Sunder Sankaran
1Division of Cardiology, University of Florida Health Science Center-Jacksonville, Jacksonville, Florida 32223, USA.
Insights
Statins, or HMG-CoA reductase inhibitors, show promise in managing chronic heart failure by improving endothelial function and reducing inflammation. Further research is exploring their benefits in both ischemic and non-ischemic heart failure cases.
Area of Science:
- Cardiology
- Pharmacology
Background:
- Statins (HMG-CoA reductase inhibitors) effectively lower plasma cholesterol.
- They are prescribed for hypercholesterolemia, ischemic heart disease, and post-transplant care.
- Potential roles in Alzheimer's dementia prevention, multiple sclerosis, and cancer risk reduction are also investigated.
Purpose of the Study:
- To review current knowledge on statin utilization in heart failure patients.
- To explore the established and emerging applications of statins in managing heart failure.
Main Methods:
- This study is a comprehensive literature review.
- It synthesizes existing research on statin therapy in various heart failure contexts.
Main Results:
- Statin use in chronic heart failure is not yet fully established but shows promise.
- Benefits are noted in patients with ischemic heart failure and emerging evidence supports their use in non-ischemic heart failure.
- Statins offer pleiotropic effects, including plaque stabilization, improved endothelial function, anti-inflammatory actions, and enhanced autonomic function.
Conclusions:
- Statins possess multifaceted properties beneficial for heart failure management.
- Their role in improving cardiovascular outcomes in heart failure warrants continued investigation.
Background:
Statins known as 3-hydroxyl-3-methyl-glutaryl-coenzyme A (HMG-CoA) are designed to lower plasma cholesterol levels. They are used to treat hypercholesterolemia, ischemic heart disease patients, heart transplant recipients, in prevention of Alzheimer's dementia, multiple sclerosis, and have also been shown to reduce cancer risk.
Methods And Results:
The idea of statin treatment in chronic heart failure is not well established. It has been shown to be beneficial in patients with ischemic heart disease with heart failure. Emerging trends show their usefulness in patients with nonischemic heart failure. Statins exhibit pleiotropic effects in stabilizing the atherosclerotic plaques, improvement of endothelial function, inhibition of cell migration and proliferation, and reduction of inflammation and oxidative stress. They also improve autonomic function with an increased parasympathetic drive, downregulate the angiotensin II type I receptors, and induce angiogenesis.
Conclusion:
This article is a review on the current knowledge on statin use in heart failure.
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