Among patients with atrialfibrillation, initiation of statins soon after diagnosis was protective against stroke and related vascular events, and longer duration of use was associated with greater protection, a new cohort study shows. EHRA2023
"We also found long-term statin use was associated with greater protection than short-term use," she said. For statin use of 6 years or longer, in comparison with use of 3 months to 2 years, the risk of ischemic stroke or systemic embolism was lowered by 43%; for hemorrhagic stroke, it was lowered by 44%, and for TIA, it was lowered by 42%.
Oussama Wazni, MD, MBA, section head of cardiac electrophysiology and pacing at the Cleveland Clinic in Ohio, was a moderator of the poster session at which Huang presented her study. In speaking withThe message should be that all patients who have atrial fibrillation should be checked for cholesterol levels, and we should consider placing them on statins," he said."Is there an opportunity? Probably there is, and that's why we're seeing this effect in this group of patients.
It may be a bit less clear how statins reduced the incidence of hemorrhagic strokes, but Wazni proposed that some strokes could have started as an ischemic stroke"and then had hemorrhagic conversion, so we don't have the granularity in here to know whether that was the case or not," he said.
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