American Journal of Cardiovascular Drugs

, Volume 13, Issue 6, pp 385–398 | Cite as

HMG-CoA Reductase Inhibitors in Chronic Kidney Disease

  • A. Olyaei
  • J. L. Steffl
  • J. MacLaughlan
  • M. Trabolsi
  • S. P. Quadri
  • I. Abbasi
  • E. Lerma
Review Article

Abstract

The incidence of chronic kidney disease (CKD) is on the rise in the USA. Cardiovascular events are the leading cause of death in this patient population, therefore reducing the risk of these events has become a major focus. The aim of this review is to assess current literature on the use of statins in CKD and end-stage renal disease. Cholesterol reduction is important in preventing the development and progression of coronary heart disease and its negative effects. Statins have been widely studied and proven to reduce cardiovascular risk in the general population. The information gained from trials has been extrapolated to special populations, including CKD, despite these patients often being excluded. However, recent studies have begun to focus on CKD, hemodialysis, and transplant patients and the use of cholesterol-lowering agents and the potential association with decreased cardiovascular events. In addition, due to the unique pharmacokinetic and pharmacodynamic changes that occur in these patients, choosing the appropriate cholesterol-lowering agent becomes important for both safety and efficacy. The complexity of CKD patients is an important consideration when choosing cholesterol-lowering medication. Patients with CKD are often on medications that may interact with many of the cholesterol-lowering agents. Ensuring drug interactions are minimized is essential to the prevention of adverse events from the medications.

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Copyright information

© Springer International Publishing Switzerland 2013

Authors and Affiliations

  • A. Olyaei
    • 1
  • J. L. Steffl
    • 1
  • J. MacLaughlan
    • 1
  • M. Trabolsi
    • 2
  • S. P. Quadri
    • 2
  • I. Abbasi
    • 3
  • E. Lerma
    • 4
  1. 1.Division of Nephrology and HypertensionOregon State University and Oregon Health and Sciences UniversityPortlandUSA
  2. 2.University of Illinois at Chicago/Advocate Christ Medical CenterInternal Medicine Residency ProgramOak LawnUSA
  3. 3.University of Illinois at Chicago/School of Public HealthChicagoUSA
  4. 4.Division of Nephrology, Department of MedicineUniversity of Illinois at Chicago College of Medicine/Advocate Christ Medical Center Associates in NephrologyChicagoUSA

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