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Published on: November 10, 2017
Benefits of statin therapy and compliance in high risk cardiovascular patients
Joel A Lardizabal1, Prakash C Deedwania
1Division of Cardiology, Department of Medicine, University of California in San Francisco (Fresno-MEP), Fresno, CA, USA.
Insights
Statin therapy significantly benefits patients with cardiovascular disease (CVD), including coronary heart disease and stroke. Improving patient adherence to statin treatment is crucial for realizing these life-saving benefits.
Area of Science:
- Cardiology
- Public Health
- Pharmacology
Background:
- Cardiovascular disease (CVD) is the leading cause of global mortality.
- Statin therapy is proven to reduce mortality and morbidity in coronary heart disease (CHD) and stroke.
- Statins offer benefits in other high-risk conditions like diabetes, chronic kidney disease (CKD), congestive heart failure (CHF), and peripheral vascular disease (PVD).
Purpose of the Study:
- To review the established benefits of statin therapy in various cardiovascular conditions.
- To highlight the issue of suboptimal patient compliance with statin treatment.
- To emphasize the need for interventions that enhance long-term adherence to statin therapy.
Main Methods:
- Review of existing evidence on statin therapy benefits.
- Analysis of factors contributing to poor statin adherence.
- Discussion of clinical guidelines recommending statin use.
Main Results:
- Statin therapy demonstrates significant mortality and morbidity benefits in primary and secondary prevention of CHD and stroke.
- Guidelines universally recommend statin use in high-risk CVD patients.
- Suboptimal patient compliance remains a significant barrier to realizing the full benefits of statin therapy.
Conclusions:
- Enhancing long-term statin adherence in real-world settings is essential.
- Addressing patient, physician, and economic factors is key to improving compliance.
- Interventions promoting adherence are vital to maximize the public health impact of statin therapy.
Abstract:
Cardiovascular disease (CVD) remains the top cause of global mortality. There is considerable evidence that supports the mortality and morbidity benefit of statin therapy in coronary heart disease (CHD) and stroke, both in primary and secondary prevention settings. Data also exist pointing to the advantage of statin treatment in other high-risk CVD conditions, such as diabetes, CKD, CHF, and PVD. National and international clinical guidelines in the management of these CVD conditions all advocate for the utilization of statin therapy in appropriate patients. However, overall compliance to statin therapy remains suboptimal. Patient-, physician-, and economic-related factors all play a role. These factors need to be considered in devising approaches to enhance adherence to guideline-based therapies. To fully reap the benefits of statin therapy, interventions which improve long-term treatment compliance in real-world settings should be encouraged.
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