Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 296.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 296.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\29718253
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Eur+Heart+J
2018 ; 39
(27
): 2526-2539
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Adverse effects of statin therapy: perception vs the evidence - focus on glucose
homeostasis, cognitive, renal and hepatic function, haemorrhagic stroke and
cataract
#MMPMID29718253
Mach F
; Ray KK
; Wiklund O
; Corsini A
; Catapano AL
; Bruckert E
; De Backer G
; Hegele RA
; Hovingh GK
; Jacobson TA
; Krauss RM
; Laufs U
; Leiter LA
; März W
; Nordestgaard BG
; Raal FJ
; Roden M
; Santos RD
; Stein EA
; Stroes ES
; Thompson PD
; Tokgözoglu L
; Vladutiu GD
; Gencer B
; Stock JK
; Ginsberg HN
; Chapman MJ
Eur Heart J
2018[Jul]; 39
(27
): 2526-2539
PMID29718253
show ga
AIMS: To objectively appraise evidence for possible adverse effects of long-term
statin therapy on glucose homeostasis, cognitive, renal and hepatic function, and
risk for haemorrhagic stroke or cataract. METHODS AND RESULTS: A literature
search covering 2000-2017 was performed. The Panel critically appraised the data
and agreed by consensus on the categorization of reported adverse effects.
Randomized controlled trials (RCTs) and genetic studies show that statin therapy
is associated with a modest increase in the risk of new-onset diabetes mellitus
(about one per thousand patient-years), generally defined by laboratory findings
(glycated haemoglobin ?6.5); this risk is significantly higher in the metabolic
syndrome or prediabetes. Statin treatment does not adversely affect cognitive
function, even at very low levels of low-density lipoprotein cholesterol and is
not associated with clinically significant deterioration of renal function, or
development of cataract. Transient increases in liver enzymes occur in 0.5-2% of
patients taking statins but are not clinically relevant; idiosyncratic liver
injury due to statins is very rare and causality difficult to prove. The evidence
base does not support an increased risk of haemorrhagic stroke in individuals
without cerebrovascular disease; a small increase in risk was suggested by the
Stroke Prevention by Aggressive Reduction of Cholesterol Levels study in subjects
with prior stroke but has not been confirmed in the substantive evidence base of
RCTs, cohort studies and case-control studies. CONCLUSION: Long-term statin
treatment is remarkably safe with a low risk of clinically relevant adverse
effects as defined above; statin-associated muscle symptoms were discussed in a
previous Consensus Statement. Importantly, the established cardiovascular
benefits of statin therapy far outweigh the risk of adverse effects.
|Cataract/*chemically induced
[MESH]
|Cerebral Hemorrhage/*chemically induced
[MESH]
|Chemical and Drug Induced Liver Injury/*etiology
[MESH]