Protective Effects of Different Classes, Intensity, Cumulative Dose-Dependent of Statins Against Primary Ischemic Stroke in Patients with Type 2 Diabetes Mellitus

Purpose of Review The aim of this study is to investigate the protective effects of different statin classes, intensity, and cumulative dose-dependent against primary ischemic stroke in patients with T2DM. Recent Findings The Cox hazards model was used to evaluate statin use on primary ischemic stro...

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Bibliographic Details
Published inCurrent atherosclerosis reports Vol. 25; no. 9; pp. 619 - 628
Main Authors Yu, Jung-Min, Chen, Wan-Ming, Shia, Ben-Chang, Wu, Szu-Yuan
Format Journal Article
LanguageEnglish
Published New York Springer US 01.09.2023
Subjects
Angiology
Cardiology
Medicine
Medicine & Public Health
Topical Collection on Statin Drugs
T2DM
Dose-dependent
Intensity
Statins
Primary ischemic stroke
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Summary:Purpose of Review The aim of this study is to investigate the protective effects of different statin classes, intensity, and cumulative dose-dependent against primary ischemic stroke in patients with T2DM. Recent Findings The Cox hazards model was used to evaluate statin use on primary ischemic stroke. Case group: T2DM patients who received statins; control group: T2DM patients who received no statins during the follow-up. Adjusted hazard ratio (aHR) for primary ischemic stroke was 0.45 (95% CI: 0.44 to 0.46). Cox regression analysis showed significant reductions in primary ischemic stroke incidence in users of different statin classes. Corresponding aHRs (95% CI) were 0.09 to 0.79 for pitavastatin, rosuvastatin, atorvastatin, pravastatin, simvastatin, fluvastatin, and lovastatin. Multivariate analyses indicated significant reductions in primary ischemic stroke incidence for patients who received different cumulative defined daily doses (cDDDs) per year (cDDD-year). Corresponding aHRs (95% CI) were 0.17 to 0.77 for quartiles 4 to 1 of cDDD-years, respectively (P for trend < .0001). Optimal intensity daily dose of statin use was 0.89 DDD with the lowest aHR of primary ischemic stroke compared with other DDDs. Summary Persistent statin use reduces the risk of primary ischemic stroke in T2DM patients. Higher cDDD-year values are associated with higher reductions in primary ischemic stroke risk in T2DM patients.
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ISSN:1523-3804
1534-6242
DOI:10.1007/s11883-023-01135-w