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Statins in Elderly

german translation / full article

Bernhard Hansbauer

Question

Is statin use for cardiovascular prevention in elderly patients evidence-based?

Answer

Statin use for primary cardiovascular prevention in elederly patients seems not to be evidence-based. For secondary prevention, however, there are meta-analysis data for patients 65–82 years old showing a reduction in total and cardiac mortality, myocardial infacrtion and cerebral ischemia. Protection is at least as good in elderly than in younger patients. Therefore statins should not be withheld in elderly subjects with increased cardiovascular risk. No studies exist for patients older than 82 years.


(State: 18.09.2012)

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