Study Supports Wider Use of Statins
Those guidelines now focus on reducing elevated levels of LDL cholesterol, the "bad" kind that clogs arteries.
The increased benefit of statins is believed to be due to their anti-inflammatory activity, Gotto said.
The meta-analysis was undertaken before the JUPITER results were reported, Gotto said, because "there was a push against statin use in primary prevention in women and the elderly." Primary prevention is aimed at people who have cardiovascular risk factors, such as high blood pressure and diabetes, but have not been diagnosed with heart disease.
"We thought it was an important health problem that was not being addressed," Gotto said.
Previous trials were too small to provide definitive evidence that statin therapy would help women and older people who had risk factors for heart disease, he said. In the studies that were amassed for the meta-analysis, 34 percent of participants were women and 23 percent had diabetes.
Age should be a major consideration when considering statin therapy, but gender should also be taken into account, said Dr. Jacob W. Deckers of the department of cardiology at Erasmus Medical Center in the Netherlands, a member of the international team.
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