Statins for stroke should be considered in biologically fit people over 75BMJ 2000; 320 doi: https://doi.org/10.1136/bmj.320.7244.1278 (Published 06 May 2000) Cite this as: BMJ 2000;320:1278
- J Kelly, specialist registrar,
- A Rudd, consultant
- Stroke Unit, St Thomas's Hospital, London SE1 7EH
EDITOR—Oliver suggests that statin use after a stroke should be restricted to patients under 75.1 Although trials showing the benefits of these drugs have excluded patients above this age, evidence suggests that these data may reasonably be extrapolated to older patients.
Firstly, the relative benefits of statins in the 4S (Scandinavian simvastatin survival study,) CARE (cholesterol and recurrent events), and LIPID (long term intervention with pravastatin in ischaemic disease) trials were similar above and below the age of 65.2 An …