Title |
Statins in heart failure: do we need another trial?
|
---|---|
Published in |
Vascular Health and Risk Management, June 2013
|
DOI | 10.2147/vhrm.s44499 |
Pubmed ID | |
Authors |
Kwadwo Osei Bonsu, Amudha Kadirvelu, Daniel Diamond Reidpath |
Abstract |
Statins lower serum cholesterol and are employed for primary and secondary prevention of cardiovascular events. Clinical evidence from observational studies, retrospective data, and post hoc analyses of data from large statin trials in various cardiovascular conditions, as well as small scale randomized trials, suggest survival and other outcome benefits for heart failure. Two recent large randomized controlled trials, however, appear to suggest statins do not have beneficial effects in heart failure. In addition to lowering cholesterol, statins are believed to have many pleotropic effects which could possibly influence the pathophysiology of heart failure. Following the two large trials, evidence from recent studies appears to support the use of statins in heart failure. This review discusses the role of statins in the pathophysiology of heart failure, current evidence for statin use in heart failure, and suggests directions for future research. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Unknown | 6 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 4 | 67% |
Practitioners (doctors, other healthcare professionals) | 2 | 33% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Netherlands | 1 | 2% |
Unknown | 46 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 7 | 15% |
Student > Bachelor | 6 | 13% |
Student > Master | 6 | 13% |
Student > Postgraduate | 4 | 9% |
Researcher | 4 | 9% |
Other | 5 | 11% |
Unknown | 15 | 32% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 16 | 34% |
Agricultural and Biological Sciences | 4 | 9% |
Nursing and Health Professions | 3 | 6% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 4% |
Computer Science | 1 | 2% |
Other | 3 | 6% |
Unknown | 18 | 38% |