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By Amy Orciari Herman
Edited by Susan Sadoughi, MD, and André Sofair, MD, MPH
For most patients who meet criteria for statin therapy, the benefits "greatly outweigh" the risks, according to a new scientific statement from the American Heart Association.
Here are some of the group's conclusions, published in Arteriosclerosis, Thrombosis and Vascular Biology:
Statins prevent primary cardiovascular events in 5% of patients treated for 5 years (who achieve a 77-mg/dL reduction in LDL) and prevent secondary events in 10% of those treated.
Myopathy, including rhabdomyolysis, owing to statin use affects less than 0.1% of treated patients.
Severe liver toxicity occurs roughly 0.001% of the time.
Statins "modestly" increase the risk for diabetes, most often in patients with numerous other risk factors.
The absolute risks for additional adverse effects are listed in Table 7 of the document linked below.
Comment
LINK(S):
AHA scientific statement in Arteriosclerosis, Thrombosis and Vascular Biology (Free)
AHA/ACC 10-year CV risk calculator (Free)
Background: Recent Physician's First Watch coverage of study questioning risk thresholds for statin treatment (Free)