Effect of Preoperative Statin Therapy on Postoperative Atrial Fibrillation in Cardiac Surgery

Takagi, Hisato; Umemoto, Takuya

doi:10.1253/circj.cj-10-0707

Cited by 8 publications

(1 citation statement)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Meta‐analysis by Liakopoulos et al . [45, 46] and Takagi and Umemoto [47] also provided evidence that preoperative statin therapy was associated with a reduction in the incidence of AF after cardiac surgery.…”

Section: Discussionmentioning

confidence: 97%

The role of statin therapy in the prevention of atrial fibrillation: a meta‐analysis of randomized controlled trials

Fang¹,

Li²,

Zhang³

et al. 2012

Brit J Clinical Pharma

100

View full text Add to dashboard Cite

CorrespondenceMiss Wen-tong Fang, The First Affiliated Hospital with Nanjing Medical University, Nanjing, Jiangsu 210029, China. Tel.: +86 152 6186 4062 Fax: +86 025 8371 8836 E-mail: fwtfu@163.com ------------------------------------------ WHAT IS ALREADY KNOWN ABOUT THIS SUBJECT• Atrial fibrillation (AF) is the most common clinically significant cardiac arrhythmia, and AF is associated with relatively higher all-cause mortality in both men and women.• However, there are limited treatment options for AF.• Statins are hypothesized to have a benefit against arrhythmias in addition to well-established secondary prevention benefit for atherosclerotic coronary artery disease, yet the data are inconsistent WHAT THIS STUDY ADDS• Statin therapy was significantly associated with a decreased risk of incidence or recurrence of AF.• The benefit of statin therapy seemed more markedly in secondary prevention than primary prevention.• These results provided some evidence for the benefit of statins beyond their lipid-lowering activity AIMSThe use of statins has been suggested to protect against atrial fibrillation (AF) in some clinical observational and experimental studies but has remained inadequately explored. This study was designed to examine whether statins can reduce the risk of AF. METHODSMeta-analysis of randomized, controlled trials with use of statins on incidence or recurrence of AF was performed. RESULTSTwenty studies with 23 577 patients were included in the analysis. Seven studies investigated the use of statins in patients with AF, 11 studies investigated the primary prevention of statins in patients without AF, and two studies investigated mixed populations of patients. The incidence or recurrence of AF occurred in 1543 patients. Overall, statin therapy was significantly associated with a decreased risk of AF compared with control (odds ratio 0.49, 95% confidence interval 0.37-0.65; P < 0.00001). A beneficial effect was found in the atorvastatin subgroup and the simvastatin subgroup, but not in the pravastatin subgroup or the rosuvastatin subgroup. The benefit of statin therapy appeared to be more pronounced in secondary prevention (odds ratio 0.34, 95% confidence interval 0.18-0.64; P < 0.0008) than in primary prevention (odds ratio 0.54, 95% confidence interval 0.40-0.74; P < 0.0001). CONCLUSIONSStatin therapy was significantly associated with a decreased risk of incidence or recurrence of AF. Heterogeneity was explained by differences in statin types, patient populations and surgery types. The benefit of statin therapy seemed more pronounced in secondary than in primary prevention.

show abstract

Section: Discussionmentioning

confidence: 97%