Statin therapy improves long-term survival in non-ischaemic cardiomyopathy: a pooled analysis of 4500 patients

Heart Lung Circ. 2014 Oct;23(10):985-7. doi: 10.1016/j.hlc.2014.04.007. Epub 2014 Apr 18.

Abstract

Statin therapy has demonstrated a beneficial effect in patients with chronic heart failure. While the majority of patients with ischaemic cardiomyopathy are prescribed these drugs, studies have demonstrated that less than one fifth of patients with dilated cardiomyopathy are on regular statin therapy. We have performed a meta-analysis of 4500 patients from six studies (four randomised controlled trials). Our results demonstrate that statin therapy significantly improves long-term survival in patients with non-ischaemic heart failure {Hazard ratio for mortality 0.45 (0.33-0.62); p<0.0001; I(2)=41%; p-value for heterogeneity=0.13}.

Keywords: Dilated cardiomyopathy; Heart failure; HydroxylglutarylCoA reductase inhibitiors; Non-ischemic cardiomyopathy; Statin.

Publication types

  • Meta-Analysis
  • Review

MeSH terms

  • Cardiomyopathy, Dilated / complications
  • Cardiomyopathy, Dilated / drug therapy*
  • Cardiomyopathy, Dilated / mortality*
  • Heart Failure / drug therapy*
  • Heart Failure / etiology
  • Heart Failure / mortality*
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use*
  • Survival Rate

Substances

  • Hydroxymethylglutaryl-CoA Reductase Inhibitors