| Literature DB >> 28839820 |
Andrew P Wright1,2, Srinath Adusumalli1,2, Kathleen E Corey2,3.
Abstract
Cardiovascular disease is one of the leading causes of death among patients with cirrhosis and following liver transplantation. Although 3-hydroxy-3-methyl-glutaryl-CoA reductase inhibitors ('statins') reduce the risk of cardiovascular events, fears about hepatotoxicity have historically led to underuse in patients with liver disease. In addition, the pharmacokinetics of statins can be significantly altered in cirrhosis, creating challenges with their use in liver disease. However, emerging data from randomised controlled trials and observational studies suggest that statin therapy appears to be safe and effective in patients with chronic liver disease and compensated cirrhosis. The cardiovascular risk benefits as well as the potential pleiotropic benefits of statins warrants strong consideration of use of statin therapy in patients with cirrhosis.Entities:
Keywords: CARDIOVASCULAR DISEASE; FATTY LIVER; LIPIDS
Year: 2014 PMID: 28839820 PMCID: PMC5369584 DOI: 10.1136/flgastro-2014-100500
Source DB: PubMed Journal: Frontline Gastroenterol ISSN: 2041-4137