The Benefits and Risks of Statin Therapy in Ischemic Stroke: A Review of the Literature

Neurol India. 2019 Jul-Aug;67(4):983-992. doi: 10.4103/0028-3886.266274.

Abstract

Statins are effective cholesterol-lowering drugs for reducing the risks of mortality and morbidity of cardiovascular diseases. Increasing evidence has shown that statin use is associated with a significant beneficial effect in patients with ischemic stroke. Both pre-stroke and post-stroke statin use has been found to be beneficial in ischemic stroke. Furthermore, good adherence is associated with a better clinical outcome, and statin withdrawal is associated with a poor functional outcome in patients with ischemic stroke. High-intensity statin therapy is advocated for the treatment of ischemic stroke. However, there are concerns regarding the adverse effects associated with statin use in ischemic stroke such as intracranial hemorrhage. In this review, we summarize the beneficial effect of statin use in ischemic stroke and discuss the potential risks associated with statin therapy.

Keywords: Benefits; cardiovascular diseases; intracranial hemorrhage; ischemic stroke; risks; statin.

Publication types

  • Review

MeSH terms

  • Brain Ischemia / drug therapy*
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / administration & dosage
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / adverse effects
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / pharmacology*
  • Intracranial Hemorrhages / chemically induced*
  • Outcome Assessment, Health Care*
  • Stroke / drug therapy*

Substances

  • Hydroxymethylglutaryl-CoA Reductase Inhibitors