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Efficacy of statins in familial hypercholesterolaemia: a long term cohort study

Open access
Versmissen, J., Oosterveer, D. M, Yazdanpanah, M., Defesche, J. C, Basart, D. C G, Liem, A. H, Heeringa, J., Witteman, J. C, Lansberg, P. J, Kastelein, J. J P, Sijbrands, E. J G·2008·BMJ

Abstract

OBJECTIVE: To determine the efficacy of statin treatment on risk of coronary heart disease in patients with familial hypercholesterolaemia. DESIGN: Cohort study with a mean follow-up of 8.5 years. SETTING: 27 outpatient lipid clinics. SUBJECTS: 2146 patients with familial hypercholesterolaemia without prevalent coronary heart disease before 1 January 1990. MAIN OUTCOME MEASURES: Risk of coronary heart disease in treated and "untreated" (delay in starting statin treatment) patients compared with a Cox regression model in which statin use was a time dependent variable. RESULTS: In January 1990, 413 (21%) of the patients had started statin treatment, and during follow-up another 1294 patients (66%) started after a mean delay of 4.3 years. Most patients received simvastatin (n=1167, 33 mg daily) or atorvastatin (n=211, 49 mg daily). We observed an overall risk reduction of 76% (hazard ratio 0.24 (95% confidence interval 0.18 to 0.30), P<0.001). In fact, the risk of myocardial infarction in these statin treated patients was not significantly greater than that in an age-matched sample from the general population (hazard ration 1.44 (0.80 to 2.60), P=0.23). CONCLUSION: Lower statin doses than those currently advised reduced the risk of coronary heart disease to a greater extent than anticipated in patients with familial hypercholesterolaemia. With statin treatment, such patients no longer have a risk of myocardial infarction significantly different from that of the general population.

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Metadata

Authors
Versmissen, J., Oosterveer, D. M., Yazdanpanah, M., Defesche, J. C., Basart, D. C. G., Liem, A. H., Heeringa, J., Witteman, J. C., Lansberg, P. J., Kastelein, J. J. P., & Sijbrands, E. J. G.
Venue
BMJ
Publisher
BMJ
Published
2008-11-11
Volume
337
Issue
nov11 1
Pages
a2423-a2423
ISSN
  • 0007-1447 (ISSN-L)
  • 0959-8138
  • 1468-5833
OpenAlex
W2049308410
Cited by
721
References
18
FWCI
18.42
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Efficacy of statins in familial hypercholesterolaemia: a long term cohort study. https://app.cochat.ai/papers/10.1136/bmj.a2423
The paper
Versmissen, J., Oosterveer, D. M., Yazdanpanah, M., Defesche, J. C., Basart, D. C. G., Liem, A. H., Heeringa, J., Witteman, J. C., Lansberg, P. J., Kastelein, J. J. P., & Sijbrands, E. J. G. (2008). Efficacy of statins in familial hypercholesterolaemia: a long term cohort study. BMJ. https://doi.org/10.1136/bmj.a2423

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