References

systhiper

Системные гипертензии

Systemic Hypertension

2075-082X2542-2189

LLC «ИнтерМедсервис»

systhiper-425

Research Article

ОБЗОРЫ / REVIEWS

Соотношение эффективности и безопасности применения статинов с целью первичнойи вторичной профилактики: мифы и реальность

The correlation of the efficacy and safety of statins with the aim of primary and secondary prevention: myths and reality

Гиляревский

С. Р.

Gilyarevsky

S. R.

sgilarevsky@rambler.ru

Голшмид

М. В.

Golshmid

M. V.

noemail@neicon.ru

Кузьмина

И. М.

Kuzmina

I. M.

noemail@neicon.ru

ГБОУ ДПО Российская медицинская академия последипломного образования Минздрава РоссииРоссияRussian Medical Academy of Postgraduate Education of the Ministry of Health of the Russian FederationRussian Federation

ГБУЗ НИИ скорой помощи им. Н.В.Склифосовского Департамента здравоохранения г. МосквыРоссияN.V.Sklifosovsky Research Institute of Emergency Medicine of the Department of Health of MoscowRussian Federation

2015

23122022

12296102

2022

Гиляревский С.Р., Голшмид М.В., Кузьмина И.М.

Gilyarevsky S.R., Golshmid M.V., Kuzmina I.M.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.syst-hypertension.ru/jour/article/view/425

В статье рассматриваются разные аспекты переносимости статинов. Особое внимание уделяется наиболее клинически значимым и частым побочным эффектам применения статинов. В частности, подробно обсуждаются проблемы токсического влияния статинов на мышцы и подходы к определению оптимальной тактики лечения больных, у которых развились симптомы поражения мышц, связанные с применением статинов. Приводятся данные о безопасности использования современных статинов, в первую очередь розувастатина.

This article deals with the different aspects of statins acceptability. Special attention is paid to the most clinically significant and frequent side-effects of the statins application. In particular, we discuss in detail the problem of toxic effect of statins on muscles and the approaches of the optimum tactics of treatment in patients with the symptoms of muscles damage associated with the use of statins. We show the information concerning the safety use of modern statins, especially rosuvastatin.

профилактикастанинымифырозувастатин

preventionstatinsmythsrosuvastatin

References1

Reiner Z, Catapano A.L, De Backer G et al. ESC/EAS guidelines for the management of dyslipidaemias: the Task Force for the management of dyslipidaemias of the European Society of Cardiology (ESC) and the European Atherosclerosis Society (EAS). Eur Heart J 2011; 32: 1769-818.

Staffa J.A, Chang J, Green L. Cerivastatin and reports of fatal rhabdomyolysis [letter]. N Engl J Med 2002; 346: 539-40.

Heart Protection Study Collaborative Group. MRC/BHF Heart Protection Study of cholesterol lowering with simvastatin in 20.536 high - risk individuals: a randomised placebo - controlled trial. Lancet 2002; 360: 7-22.

Ridker P.M, Danielson E, Fonseca .FA et al. JUPITER Study Group. Rosuvastatin to prevent vascular events in men and women with elevated C-reactive protein. N Engl J Med 2008; 359: 2195-207.

Kashani A, Phillips C.O, Foody J.M et al. Risks associated with statin therapy: a systematic overview of randomized clinical trials. Circulation 2006; 114: 2788-97.

Heart Outcomes Prevention Evaluation Study Investigators. Effects of ramipril on cardiovascular and microvascular outcomes in people with diabetes mellitus: results of the HOPE study and MICRO-HOPE substudy. Lancet 2000; 355: 253-9.

Dahlöf B, Devereux R.B, Kjeldsen S.E et al. LIFE Study Group. Cardiovascular morbidity and mortality in the Losartan Intervention For Endpoint reduction in hypertension study (LIFE): a randomised trial against atenolol. Lancet 2002; 359: 995-1003.

Law M, Rudnicka A.R. Statin safety: a systematic review. Am J Cardiol 2006; 97 (Suppl.): 52C-60C.

Bruckert E, Hayem G, Dejager S et al. Mild to moderate muscular symptoms with high - dosage statin therapy in hyperlipidemic patients - the PRIMO study. Cardiovasc Drugs Ther 2005; 19: 403-14.

Buettner C, Rippberger M.J, Smith J.K et al. Statin use and musculoskeletal pain among adults with and without arthritis. Am J Med 2012; 125: 176-82.

Cohen J.D, Brinton E.A, Ito M.K, Jacobson T.A. Understanding statin use in America and gaps in patient education (USAGE): an internet - based survey of 10,138 current and former statin users. J Clin Lipidol 2012; 6: 208-15.

Zhang H, Plutzky J, Skentzos S et al. Discontinuation of statins in routine care settings: a cohort study. Ann Int Med 2013; 158: 526-34.

El-Salem K, Ababeneh B, Rudnicki S et al. Prevalence and risk factors of muscle complications secondary to statins. Muscle Nerve 2011; 44: 877-81.

Chodick G, Shalev V, Gerber Y et al. Long - term persistence with statin treatment in a not - for - profit health maintenance organization: a population - based retrospective cohort study in Israel. Clin Ther 2008; 30: 2167-79.

Jackevicius C.A, Mamdani M, Tu J.V. Adherence with statin therapy in elderly patients with and without acute coronary syndromes. JAMA 2002; 288: 462-7.

Chowdhury R, Khan H, Heydon E et al. Adherence to cardiovascular therapy: a meta - analysis of prevalence and clinical consequences. Eur Heart J 2013; 34: 2940-8.

Rosenson R.S, Baker S.K, Jacobson T.A et al. Anassessment by the statin muscle safety task force: 2014 update. J Clin Lipidol 2014; 8: 558-71.

Ganga H.V, Slim H.B, Thompson P.D. A systematic review of statin - induced muscle problems in clinical trials. Am Heart J 2014; 168: 6-15.

Finegold J.A, Manisty C.H, Goldacre B et al. What proportion of symptomatic side effects in patients taking statins are genuinely caused by the drug? Systematic review of randomized placebo - controlled trials to aid individual patient choice. Eur J Prev Cardiol 2014; 21: 464-76.

Parker B.A, Capizzi J.A, Grimaldi A.S et al. Effect of statins on skeletal muscle function. Circulation 2013; 127: 96-103.

Keech A, Collins S, Mac Mahon S et al. Three - year follow - up of the Oxford Cholesterol Study: assessment of the efficacy and safety of simvastatin in preparation for a large mortality study. Eur Heart J 1994; 15: 255-69.

MRC/BHF Heart Protection Study Collaborative Group. Effects of simvastatin 40 mg daily on muscle and liver adverse effects in a 5-year randomized placebo - controlled trial in 20,536 high - risk people. BMC Clin Pharmacol 2009; 9: 6.

Mampuya W.M, Frid D, Rocco M et al. Treatment strategies in patients with statin intolerance: the Cleveland Clinic experience. Am Heart J 2013; 166: 597-603.

Downs J.R, Clearfield M, Tyroler H.A et al. Air Force/Texas Coronary Atherosclerosis Prevention Study (AFCAPS/TexCAPS). Additional perspectives on tolerability of long - term treatment with lovastatin. Am J Cardiol 2001; 87: 1074-9.

Armitage J. The safety of statins in clinical practice. Lancet 2007; 370: 1781-90.

Joy T.R, Hegele R.A. Narrative review: statin - related myopathy. Ann Intern Med 2009; 150: 858-68.

Mancini G.B, Tashakkor A.Y, Baker S et al. Diagnosis, prevention, and management of statin adverse effects and intolerance: Canadian Working Group Consensus update. Can J Cardiol 2013; 29: 1553-68.

Corsini A. The safety of HMG-CoA reductase inhibitors in special populations at high cardiovascular risk. Cardiovasc Drugs Ther 2003; 17: 265-85.

Armitage J, Baigent C, Collins R. Misrepresentation of statin safety evidence. Lancet 2014; 384: 1263-4.

Ahmad Z. Statin intolerance. Am J Cardiol 2014; 113: 1765-71.

Alfirevic A, Neely D, Armitage J et al. Phenotype standardization for statin - induced myotoxicity. Clin Pharmacol Ther 2014; 96: 470-6.

Bosch X, Poch E, Grau J.M. Rhabdomyolysis and acute kidney injury. N Engl J Med 2009; 361: 62-72.

Cohen D.E, Anania F.A, Chalasani N. An assessment of statin safety by hepatologists. Am J Cardiol 2006; 97 (Suppl.): 77C-81C.

Bays H. Statin safety: an overview and assessment of the data - 2005. Am J Cardiol 2006; 97 (Suppl.): 6C-26C.

Charles E.C, Olson K.L, Sandhoff B.G et al. Evaluation of cases of severe statin - related transaminitis within a large health maintenance organization. Am J Med 2005; 118: 618-24.

Kjekshus J, Apetrei E, Barrios V et al. Rosuvastatin in Older Patients with Systolic Heart Failure. N Engl J Med 2007; 357: 2248-61.

GISSI-HF Investigators, Tavazzi L, Maggioni A.P et al. Effect of rosuvastatin in patients with chronic heart failure (the GISSI-HF trial): a randomised, double - blind, placebo - controlled trial. Lancet 2008; 372: 1231-9.

Preiss D, Campbell R.T, Murray H.M et al. The effect of statin therapy on heart failure events: a collaborative meta - analysis of unpublished data from major randomized trials. Eur Heart J 2015 Mar 23. [Epub ahead of print].

Rogers J.K, Jhund P.S, Perez A.C et al. Effect of rosuvastatin on repeat heart failure hospitalizations: the CORONA Trial (Controlled Rosuvastatin Multinational Trial in Heart Failure). J Am Coll Cardiol HF 2014; 2: 289-97.

Álvarez-García J, Ferrero-Gregori A, Puig T et al. A simple validated method for predicting the risk of hospitalization for worsening of heart failure in ambulatory patients: the Redin-SCORE. Eur J Heart Fail 2015 May 23. [Epub ahead of print].

Swiger K.J, Manalac R.J, Blumenthal R.S et al. Statins and cognition: a systematic review and meta - analysis of short - and long - term cognitive effects. Mayo Clin Proc 2013; 88: 1213-21.

Robinson J.G, Farnier M, Krempf M et al. Efficacy and Safety of Alirocumab in Reducing Lipids and Cardiovascular Events. N Engl J Med 2015; 372: 1489-99.

Freeman D.J, Norrie J, Sattar N et al. Pravastatin and the development of diabetes mellitus: evidence for a protective treatment effect in the West of Scotland Coronary Prevention Study. Circulation 2001; 103: 357-62.

Clinical Directions - The JUPITER trial: will you change your practice? http://www.nejm.org/clinical-directions/jupiter-statins-trial/(accessed Nov 26, 2008)

Yusuf S, Lonn E, Bosch J. Lipid lowering for primary prevention. Lancet 2009; 373: 1152-5.

Sattar N, Preiss D, Murray H.M et al. Statins and risk of incident diabetes: a collaborative meta - analysis of randomised statin trials. Lancet 2010; 375: 735-42.

Mansi I, Frei C.R, Wang C.P, Mortensen E.M. Statins and New-Onset Diabetes Mellitus and Diabetic Complications: A Retrospective Cohort Study of US Healthy Adults. J Gen Intern Med 2015. [Epub ahead of print].

Cholesterol Treatment Trialists' (CTT) Collaboration. Efficacy and safety of LDL-lowering therapy among men and women: meta - analysis of individual data from 174 000 participants in 27 randomised trials. Lancet 2015; 385 (9976): 1397-405.

Amarenco P, Bogousslavsky J, Callahan A 3rd. et al. High - dose atorvastatin after stroke or transient ischemic attack. N Engl J Med 2006; 355: 549-59.

Rordorf G, Mc Donald C. Spontaneous intracerebral hemorrhage: pathogenesis, clinical features, and diagnosis. In: S.E.Kasner, J.L.Wilterdink, eds. UpToDate, Version 18.2. Waltham, MA: UpToDate Inc.; 2010.

Hackam D.G, Woodward M, Newby L.K et al. Statins and Intracerebral Hemorrhage. Collaborative Systematic Review and Meta-Analysis. Circulation 2011; 124: 2233-42.

Brugts J.J, Yetgin T, Hoeks S.E et al. The benefits of statins in people without established cardiovascular disease but with cardiovascular risk factors: meta - analysis of randomised controlled trials. BMJ 2009; 338: b2376.

Andrade S.E, Walker A.M, Gottlieb L.K et al. Discontinuation of antihyperlipidemic drugs: do rates reported in clinical trials reflect rates in primary care settings? N Engl J Med 1995; 332: 1125-8.

Heeschen C, Hamm C.W, Laufs U et al. Withdrawal of statins increases event rates in patients with acute coronary syndromes. Circulation 2002; 105: 1446-52.

Heeschen C, Hamm C.W, Laufs U et al. Withdrawal of statins increases event rates in patients with acute coronary syndromes. Circulation 2003; 107: e27. Letter.

Spencer F.A, Allegrone J, Goldberg R.J et al. Association of statin therapy with outcomes of acute coronary syndromes: the GRACE Study. Ann Intern Med 2004; 140: 857-66.

Mc Gowan M.P. Treating to New Target (TNT) Study Group. There is no evidence for an increase in acute coronary syndromes after short - term abrupt discontinuation of statins in stable cardiac patients. Circulation 2004; 110: 2333-5.

Kutner J.S, Blatchford P.J, Taylor D.H.Jr et al. Safety and benefit of discontinuing statin therapy in the setting of advanced, life - limiting illness: a randomized clinical trial. JAMA Intern Med 2015; 175: 691-700.

Cohen S.M. Concept Analysis of Adherence in the Context of Cardiovascular Risk Reduction. Nursing Forum 2009; 44 (1): 25-36.

The authors declare that there are no conflicts of interest present.