Document Detail


Are statins an option in the management of abdominal aortic aneurysms?
MedLine Citation:
PMID:  18421030     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Medline was searched for studies investigating the perioperative and long-term results that derive from statin use in patients with abdominal aortic aneurysm and the clinical and experimental evidence dealing with aneurysm expansion. Data suggest that statins improve the perioperative and long-term outcomes of aneurysm operations and may also reduce expansion rates. International guidelines recommend the use of statins in these patients because abdominal aortic aneurysms are considered as a coronary heart disease equivalent. These guidelines do not appear to have been widely implemented. Preliminary results suggest that statins might play a role in the management of abdominal aortic aneurysms. Verification of these results in large-scale trials may hold implications for a more comprehensive approach of patients with abdominal aortic aneurysms as well as population-wide aneurysm screening programs. Irrespective of the role of statins on aneurysm expansion rates, it is important to ensure that all abdominal aortic aneurysm patients receive statin therapy to improve perioperative and long-term morbidity and mortality.
Authors:
Kosmas I Paraskevas; Christos D Liapis; George Hamilton; Dimitri P Mikhailidis
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Vascular and endovascular surgery     Volume:  42     ISSN:  1538-5744     ISO Abbreviation:  Vasc Endovascular Surg     Publication Date:    2008 Apr-May
Date Detail:
Created Date:  2008-04-18     Completed Date:  2008-08-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136421     Medline TA:  Vasc Endovascular Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  128-34     Citation Subset:  IM    
Affiliation:
Department of Clinical Biochemistry, Vascular Disease Prevention Clinic, Royal Free Hospital, Royal Free University College Medical School, London, UK.
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MeSH Terms
Descriptor/Qualifier:
Animals
Aortic Aneurysm, Abdominal / drug therapy*,  mortality,  pathology,  surgery
Cost-Benefit Analysis
Drug Costs
Evidence-Based Medicine
Female
Guideline Adherence
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors / economics,  therapeutic use*
Male
Mass Screening / methods
Mice
Patient Selection
Practice Guidelines as Topic
Rats
Time Factors
Treatment Outcome
Vascular Surgical Procedures* / adverse effects
Chemical
Reg. No./Substance:
0/Hydroxymethylglutaryl-CoA Reductase Inhibitors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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