The effects of statins on prevention of stroke and dementia

Menezes, Arthur R., Lavie, Carl J., Milani, Richard V. and O'Keefe, James (2012) The effects of statins on prevention of stroke and dementia. Journal of Cardiopulmonary Rehabilitation and Prevention, 32 5: 240-249. doi:10.1097/HCR.0b013e31825d2a03

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Author Menezes, Arthur R.
Lavie, Carl J.
Milani, Richard V.
O'Keefe, James
Title The effects of statins on prevention of stroke and dementia
Journal name Journal of Cardiopulmonary Rehabilitation and Prevention   Check publisher's open access policy
ISSN 1932-7501
1932-751X
Publication date 2012-09
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1097/HCR.0b013e31825d2a03
Volume 32
Issue 5
Start page 240
End page 249
Total pages 10
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams & Wilkins
Collection year 2013
Language eng
Abstract Stroke is the third leading cause of death in the United States and places a heavy toll on health care spending, especially in the elderly population. The prevalence of stroke increases with increasing age. Over the last 2 decades, there have been substantial data supporting the use of statins in the primary, as well as secondary, prevention of stroke. Although most of these studies were designed to evaluate cerebrovascular accidents (CVA) only as secondary endpoints, the data show a significant reduction in strokes associated with statin use. There have been numerous studies that have demonstrated the relationship between serum cholesterol levels, specifically low-density lipoprotein cholesterol, on CVA and the beneficial effects of statins in this setting. Furthermore, in addition to the lipid-lowering properties of statins, these drugs have also been shown to possess cholesterol-independent pleotropic properties that have been associated with neuroprotection. Finally, the role of statins for the prevention of dementia is still highly debatable. We examine the role of this class of drugs in the setting of dementia, particularly from vascular causes and stroke.
Keyword Dementia
Statins
Stroke
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Official 2013 Collection
School of Medicine Publications
 
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