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Published on: May 10, 2021
Statins in Aortic Disease
Vicky Tsigkou1, Gerasimos Siasos1, Eva Mpletsa1
1Department of Cardiology, 'Hippokration' General Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens,Greece.
Insights
Statins offer cardiovascular benefits for aortic diseases, improving endothelial function and plaque stability. Further research is needed to determine optimal statin types and doses for specific aortic conditions.
Area of Science:
- Cardiovascular Medicine
- Pharmacology
- Aortic Diseases
Background:
- Statins exhibit pleiotropic effects, enhancing cardiovascular health by improving endothelial dysfunction, reducing inflammation, and stabilizing atherosclerotic plaques.
- Aortic diseases encompass conditions like aortic valve stenosis, regurgitation, aneurysms, and genetic disorders, with statins showing cardio-protective potential.
Purpose of the Study:
- To review current data on the use of statins in treating various aortic diseases.
- To synthesize existing evidence regarding statin therapy's role in managing aortic conditions.
Main Methods:
- A comprehensive literature search was performed using PubMed and the Cochrane Database.
- Identification of studies and recent articles focusing on statin use in aortic disease.
Main Results:
- Evidence from animal and human studies largely supports beneficial effects of statins in aortic diseases.
- Some conflicting data exists, necessitating careful interpretation of current findings.
Conclusions:
- Further investigation is required to establish optimal statin types and dosages for specific aortic disease clinical scenarios.
- Personalized statin therapy recommendations for aortic diseases warrant additional research.
Background:
Numerous studies indicate that statins have multiple beneficial actions (known as 'pleiotropic actions') on cardiovascular system through the improvement of endothelial dysfunction, inflammation, oxidative stress, excessive arterial thrombosis, and stabilization of the atherosclerotic plaque. Aortic disease primarily consists of aortic valve stenosis, aortic valve regurgitation, aneurysm disease, and genetic disorders such as Marfan syndrome, bicuspid aortic valve and aortic coarctation. Many studies have revealed the cardioprotective actions of statins in aortic disease.
Objective:
Our aim was to present current data concerning the value of treatment with statins in aortic diseases.
Methods:
A thorough search of PubMed and the Cochrane Database was conducted to identify the studies and novel articles related to the use of statins in aortic disease.
Results:
Numerous studies in animals and humans indicate a beneficial effect of treatment with statins in the previous conditions apart from a few conflicting data.
Conclusion:
There is a need of further investigation in this field, especially for the estimation of the optimal type and dose of statins required in each clinical condition of aortic disease.
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