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Statin may cut heart risk
after kidney transplant
Last Updated:
2003-06-03 12:41:59 -0400 (Reuters Health)
LONDON
(Reuters Health) - Treating kidney transplant patients
with the cholesterol-lowering drug fluvastatin might cut
their risk of premature death from heart problems,
according to study results released Monday.
Heart disease
is a serious risk for people who receive kidney
transplants. Many have pre-existing cardiovascular
problems, and the drugs they are given to avoid
transplant rejection can worsen old problems or generate
new ones.
In the new
study, fluvastatin appeared to lower transplant
recipients' risk of cardiac death -- although it failed
to make a dent in overall death rates.
"We have
demonstrated that it is safe to use fluvastatin in this
complicated population," study author Dr. Hallvard
Holdaas of Norway's National Hospital in Oslo told
Reuters Health.
In a study
sponsored by Novartis Pharma AG, which sells fluvastatin
as Lescol, Holdaas and colleagues tested whether the
drug reduced heart attacks and other cardiac
complications in 2,102 kidney-transplant recipients.
Half the
patients were treated with fluvastatin, and the rest
were given inactive treatment with a placebo. All were
followed for five to six years.
Patients
given the drug were 35 percent less likely to die from
cardiac causes or to suffer a non-fatal heart attack
during the study, according to findings published online
by The Lancet.
"Treatment
with fluvastatin reduced the risk of cardiac death by 38
percent and of definite non-fatal (heart attack) by 32
percent," the researchers report.
However, the
study did not find a statistically significant
difference in the rates of cardiac surgery or the
overall death rates in the two patient groups.
Previous
research, Holdaas and his colleagues note, has shown the
benefits of cholesterol-lowering statins in patients
with mild kidney failure and a heightened risk of
cardiovascular disease.
Their study
is currently in a pre-planned two-year extension stage
in which both groups of patients are receiving
treatment.
Copyright 2002 Reuters.
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