Statin therapy in patients with diastolic heart failure.

Clinical Cardiology
Faramarz TehraniErnst R Schwarz

Abstract

There is controversy regarding the potential effects of statin therapy on mortality in patients with heart failure. The present study analyzed the possible effects of statin therapy on morbidity and mortality in patients with diastolic heart failure over long-term follow-up. To evaluate potential effect of statin therapy on hospitalization rate and mortality in patients with diastolic heart failure. Patients with preserved left ventricular ejection fraction (> or =50%), hospitalized for clinical symptoms of heart failure were evaluated. Patients on statin therapy started at or prior to their first heart failure admission represented group 1 and patients without statin therapy represented group 2. The effects of statins on hospitalization rates and mortality were assessed during a 5 year follow-up. A total of 270 patients (group 1 n = 81; group 2 n = 189) were followed over 5 years. Patients on statins demonstrated improved survival compared to patients without statin therapy (hazard ratio [HR] = 0.65, 95% confidence interval [CI]: 0.45-0.95, P = .029). The survival benefit was maintained after adjusting for differences in baseline characteristics, comorbidities, and other medications. There was no significant difference in the ...Continue Reading

References

Jan 17, 2003·Annals of Internal Medicine·Marcello TonelliUNKNOWN Cholesterol and Recurrent Events (CARE) Trial Investigators
Mar 10, 2004·The New England Journal of Medicine·Christopher P CannonUNKNOWN Pravastatin or Atorvastatin Evaluation and Infection Therapy-Thrombolysis in Myocardial Infarction 22 Investigators
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Jan 5, 2008·International Journal of Clinical Practice·G Jackson

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Citations

Sep 12, 2013·Pharmacology & Therapeutics·Dimitris TousoulisChristodoulos Stefanadis
Jul 14, 2012·International Journal of Vascular Medicine·Shusuke YagiToshio Matsumoto
Dec 2, 2009·Current Heart Failure Reports·Helene Glassberg

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