Effect of Statins use on Cardiac, Diabetes, Kidney and Liver Function – An update

S. Swaminathan, R. Elanthendral
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Abstract

Researches done on the use of statins during the last two decades have shown conflicting results in their effects on DM, Cardiac, liver and Kidney functions. Six forms of statins are being prescribed as a preventive measure to reduce the incidence of cardiovascular morbidity and mortality; but statin use have also shown alternations in DM, liver and Kidney function. The latest observations relates to cancer prevention/induction. Statins prescriptions are done mostly for elderly patients in order to reduce lipid profile mostly Total cholesterol and LDL levels. Studies have shown that statins use affects muscular function, induce prediabetes, and alter liver enzymes and affects mitochondrial functions. They may also interact with other medications. Some merits shown in the use of statins include prevention of MCI and strokes. Among the statins used, atorvastatin was found to be very beneficial with minimal side effects with greater beneficial function in maintaining other organ functions. This review article highlights the research findings on the use of statins and its merits and demerits during the last two decades. More clinical trials with large population are required to establish the type of statins to be required for each type of patients and clinical conditions.
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他汀类药物对心脏、糖尿病、肾脏和肝脏功能的影响——最新进展
在过去的二十年中,他汀类药物的使用研究显示其对糖尿病、心脏、肝脏和肾脏功能的影响结果相互矛盾。目前正在开六种他汀类药物,作为减少心血管发病率和死亡率的预防措施;但他汀类药物的使用也显示出糖尿病、肝肾功能的改变。最新的观察结果与预防/诱发癌症有关。他汀类药物处方主要用于老年患者,以降低血脂,主要是总胆固醇和低密度脂蛋白水平。研究表明,他汀类药物的使用会影响肌肉功能,诱发前驱糖尿病,改变肝酶并影响线粒体功能。它们也可能与其他药物相互作用。他汀类药物的一些优点包括预防轻度认知损伤和中风。在使用的他汀类药物中,发现阿托伐他汀非常有益,副作用最小,在维持其他器官功能方面有更大的有益功能。本文综述了近二十年来有关他汀类药物应用的研究成果及其优缺点。需要更多的大规模临床试验来确定每种类型的患者和临床条件所需的他汀类药物类型。
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