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Rethinking The Stroke Risks From Statins

October 6, 2011

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The available evidence suggests withholding a statin in patients with an intracerebral hemorrhage (ICH). This population-based retrospective Canadian cohort study found no association between statin use and ICH among those with a history of ischemic stroke. However, an editorial notes some limitations in the study and makes recommendations for prudent use of statins in the population at risk. (Scroll down the results page for some earlier reports on the topic.)

 

RESULT: Statins and Intracerebral Hemorrhage A Retrospective Cohort Study
Archives of Neurology | Sep 12, 2011 (Free abstract. Full text

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RESULT: Statin Use and Intracerebral Hemorrhage Evidence for Safety in Recurrent Stroke Prevention?
Archives of Neurology | Sep 12, 2011 (Free abstract. Full text

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Yet again, a cardiovascular prevention issue is cast into doubt. Because recurrent stroke and vascular event rates have declined substantially over the last 5 decades, primarily due to improvements in blood pressure control and more frequent use of antiplatelet therapy, secondary prevention trials now need considerably larger sample sizes to demonstrate incremental improvements in care.

 

(MORE: Alzheimer Disease Provides Strong Marker for Future Stroke)

RESULT: Declining Stroke and Vascular Event Recurrence Rates in Secondary Prevention Trials Over the Past 50 Years and Consequences for Current Trial Design
Circulation | May 17, 2011 (FREE FULL TEXT)

 

 

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