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2016 ; 12
(ä): 153-61
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Management of intracerebral hemorrhage--use of statins
#MMPMID27143909
Van Matre ET
; Sherman DS
; Kiser TH
Vasc Health Risk Manag
2016[]; 12
(ä): 153-61
PMID27143909
show ga
Intracerebral hemorrhage (ICH) is a neurologic injury resulting in significant
morbidity and mortality. Statins play a significant role in primary and secondary
prevention of cardiovascular and cerebrovascular ischemic events. Despite clear
benefits of statins in ischemic stroke, post hoc analyses of some studies suggest
there may be a link between statin therapy and development of ICH. Direct
pharmacologic effects of decreased serum levels of total cholesterol and
low-density lipoproteins in conjunction with pleiotropic effects are thought to
be linked to this possible increase in ICH risk. In the face of the potential of
statins to increase the risk of ICH, recent evidence suggests that statins may
also have beneficial effects on patient outcomes when continued or initiated
following an ICH. This discordance in findings and the overall lack of
well-designed prospective clinical trials increase the complexity of clinical
decision making when utilizing statin therapy in patients with, or at risk for,
ICH. This review evaluates the pharmacologic effects of statin therapy and
describes how these effects translate to both risks and benefits in ICH. The
current literature regarding the effects of statin therapy on clinical outcomes
in ICH is evaluated to help guide clinicians with decisions regarding initiation,
continuation, or discontinuation of statin therapy in patients with ICH.