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Differential Effects of Lipid-lowering Drugs in Modulating Morphology of Cholesterol Particles
Published on: November 10, 2017
Statins decrease mean platelet volume irrespective of cholesterol lowering effect
Nasir Sivri1, Gulacan Tekin, Kenan Yalta
1Trakya University Faculty of Medicine. nasirsivri@hotmail.com.
Insights
Statins significantly reduce mean platelet volume (MPV), a marker of platelet activation, regardless of cholesterol changes. Atorvastatin and rosuvastatin demonstrated comparable effects on MPV in patients.
Area of Science:
- Cardiology
- Pharmacology
- Hematology
Background:
- Statins offer benefits beyond LDL cholesterol reduction, impacting platelet activation, endothelial function, inflammation, and coagulation.
- Platelet activation is a key factor in cardiovascular events.
Purpose of the Study:
- To evaluate the effect of statin therapy on mean platelet volume (MPV) as a measure of platelet activation.
- To compare the effects of atorvastatin and rosuvastatin on MPV.
Main Methods:
- Retrospective analysis of 145 outpatients prescribed statins.
- Recorded baseline and 4-8 week hematological measurements, biochemical analyses, and cardiovascular risk factors.
Main Results:
- Statin treatment significantly decreased MPV.
- No significant correlation was observed between MPV changes and lipid parameters (LDL-cholesterol, HDL-cholesterol, triglycerides).
- Atorvastatin and rosuvastatin showed comparable effects on lipid parameters and MPV.
Conclusions:
- Statins effectively reduce MPV, indicating reduced platelet activation, independent of their effect on cholesterol levels.
- Atorvastatin and rosuvastatin exhibit similar efficacy in reducing MPV.
Background:
Recent clinical observations have demonstrated that the beneficial effects of statins are not limited to LDL lowering effect. They have also favourable effects on platelet activation, endothelial function, inflammation, and coagulation cascade.
Aim:
To investigate the effects of statins on mean platelet volume (MPV) which is a simple measure of platelet activation volume in patients who have been prescribed statins. Atorvastatin and rosuvastatin were also compared in respect to effects on MPV.
Methods:
One hundred and forty five patients were retrospectively included in the study from the outpatient cardiology clinic. Patients who had been given statin treatment were recruited based on the records. Baseline and 4-8 weeks biochemical analysis and haematological measurements and cardiovascular risk factors were recorded.
Results:
Both statins significantly decreased the MPV. MPV of patients did not show any significant correlation with lipid parameters. Linear regression analysis revealed that there were no statistically significant associations of ∆ MPV with the ∆LDL-cholesterol (beta coefficient = 0.13; p = 0.24), ∆DL-cholesterol (beta coefficient = 0.17; p = 0.18) or ∆triglyceride (beta coefficient = -0.11; p = 0.21) after statin treatment. Both statins had comparable effects on lipid parameters at the end of the one month follow up period.
Conclusion:
Statins significantly reduce MPV irrespective of cholesterol levels, and atorvastatin and rosuvastatin have comparable effects in this regard.
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