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Impact of ezetimibe on markers of inflammation in patients treated with statins: a systematic review

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Abstract

Statins are the primary pharmacological intervention to reduce LDL cholesterol; they significantly reduce inflammatory markers. Ezetimibe also reduces LDL cholesterol and reduces cardiovascular events when given on top of statin therapy. Whether ezetimibe, like statins, reduces markers of inflammation is less clear. We, therefore, conducted a systematic literature research addressing the impact of ezetimibe on CRP, TNFα and IL-6 when given on top of statin therapy. Our work indicates that overall ezetimibe reduces inflammation on top of statin treatment. However, available data are limited for CRP and even more so for TNFα and IL-6.

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MK: conceived and designed the analysis; collected the data; contributed data; performed the analysis; wrote the paper. HD: conceived and designed the analysis; review and editing. CHS: conceived and designed the analysis; collected the data; contributed data; performed the analysis; review and editing.

Corresponding author

Correspondence to Christoph H. Saely.

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Conflict of interest

Margaretha Klement: None. Heinz Drexel: Consultant and speaker fees from MSD, Amgen, Sanofi-Aventis, and Astra Zeneca. Christoph H. Saely: Consultant and speaker fees from MSD, Amgen, Sanofi-Aventis, and Astra Zeneca.

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Margaretha Klement takes responsibility for all aspects of the reliability and freedom from bias of the data presented and their discussed interpretation.

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Klement, M., Drexel, H. & Saely, C.H. Impact of ezetimibe on markers of inflammation in patients treated with statins: a systematic review. Inflammopharmacol 31, 1647–1656 (2023). https://doi.org/10.1007/s10787-023-01209-w

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  • DOI: https://doi.org/10.1007/s10787-023-01209-w

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