Comparison of efficacy and safety between loading-dose atorvastatin and rosuvastatin in cerebral infarction

Yanchao Li1, Di Zhang1, Shuang Liu2

  • 1Department of Clinical Pharmacy, The Third Affiliated Hospital of Qiqihar Medical University No. 3, Taishun Street, Tiefeng District, Qiqihar 161000, Heilongjiang, China.

Insights

Loading-dose statins improve clinical efficacy for cerebral infarction (CI). Rosuvastatin offers better lipid control than atorvastatin, with similar safety profiles in CI patients.

Area of Science:

  • Cardiology
  • Neurology
  • Pharmacology

Background:

  • Cerebral infarction (CI) poses a significant health challenge.
  • Statins are crucial for managing CI, but optimal dosing strategies require investigation.

Purpose of the Study:

  • To compare the efficacy and safety of loading-dose atorvastatin versus rosuvastatin in treating cerebral infarction (CI).

Main Methods:

  • A retrospective analysis of 151 CI patients was conducted.
  • Patients were divided into four groups: conventional atorvastatin, loading-dose atorvastatin, conventional rosuvastatin, and loading-dose rosuvastatin.
  • Outcomes included NIHSS scores, clinical efficacy, lipid profiles, liver function, inflammation, myocardial indices, and adverse reactions.

Main Results:

  • Loading-dose statins significantly reduced NIHSS scores more than conventional doses.
  • Both loading-dose atorvastatin and rosuvastatin showed high clinical efficacy, with no significant difference between them.
  • Loading-dose rosuvastatin demonstrated superior blood lipid control and milder increases in inflammation/myocardial indices compared to loading-dose atorvastatin.
  • No significant differences in liver function or adverse reaction rates were observed among the groups.

Conclusions:

  • Loading-dose atorvastatin and rosuvastatin are effective and safe for CI treatment.
  • Rosuvastatin shows an advantage in lipid-lowering effects and potentially inflammatory markers.
  • These findings support the use of loading-dose statins, particularly rosuvastatin, in CI management.
Abstract

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