Intended for healthcare professionals

Rapid response to:

Analysis

Should people at low risk of cardiovascular disease take a statin?

BMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f6123 (Published 22 October 2013) Cite this as: BMJ 2013;347:f6123

Rapid Response:

Re: Should people at low risk of cardiovascular disease take a statin?

In a developing country like India every prescription for cardiovascular disease (TIA, Stroke, Coronary syndrome, hypertension) ends with the prescription of a statin. The day is not far away that it will be available over the counter like aspirin. The age old product nicotinic acid is totally forgotten by medical fraternity.

How a combination of statin + Vitamin-D3 is effective remains a dilemma. In cardiovascular diseases prevention is better than cure. Careful following patient taking statin for side effect: myalgia, easy fatigue, rhabdomyolysis, hematuria, renal failure. Early most sign of statin toxicity is proximal muscle weakness easily detected in routine clinical examination.

The anti-inflammatory action of statins may arrest the progression of dementia. Inhibition of liberated metalloproteinase stabilizes the life threatening coronary plaque in coronary syndrome.

Overall benefits override the risk and side effects of statin. In medical fraternity statin and aspirin are twin sisters in 21st century and go hand in hand.

Competing interests: No competing interests

11 November 2013
Himmatrao Saluba Bawaskar
Physician
Pramodini H Bawaskar Parag H Bawaskar
Bawaskar Hospital and Research Centre Mahad Raigad Maharashtra India 402301
Prabhat Colony savitri Marg Mahad Raigad