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Ethnicity Based Differences in Statin Use and Hypercholesterolemia Control Among Patients With Premature Coronary Artery Disease-Results of I-Pad Study Publisher

Summary: Statin use for LDL control varies by gender & ethnicity in premature CAD patients; Arabs show better control. #Statins #CAD

Karimi R1, 8 ; Zarepur E2, 3 ; Khosravi A4, 5 ; Mohammadifard N2 ; Nouhi F5, 6 ; Alikhasi H7 ; Nasirian S8 ; Sadeghi M9 ; Roohafza H9 ; Moezi Bady SA10, 11 ; Solati K13 ; Lotfizadeh M14 ; Ghaffari S5, 15 ; Javanmardi E16 Show All Authors
Authors
  1. Karimi R1, 8
  2. Zarepur E2, 3
  3. Khosravi A4, 5
  4. Mohammadifard N2
  5. Nouhi F5, 6
  6. Alikhasi H7
  7. Nasirian S8
  8. Sadeghi M9
  9. Roohafza H9
  10. Moezi Bady SA10, 11
  11. Solati K13
  12. Lotfizadeh M14
  13. Ghaffari S5, 15
  14. Javanmardi E16
  15. Gholipour M17
  16. Cheraghi M18
  17. Assareh A5, 19
  18. Haybar H19
  19. Namayandeh SM20
  20. Kojuri J5, 22
  21. Mansourian M8
  22. Sarrafzadegan N5, 8, 23

Source: International Journal of Cardiology: Cardiovascular Risk and Prevention Published:2023


Abstract

Background: Statins use is the most important treatment for high LDL cholesterol in patients with premature coronary artery disease (CAD). Previous reports have shown racial and gender differences in statin use in the general population, but this wasn't studied in premature CAD based on different ethnicities. Methods and results: Our study includes 1917 men and women with confirmed diagnosis of premature CAD. Logistic regression model was used to evaluate the high LDL cholesterol control in the groups and the OR with 95% confidence interval (CI) was reported as the effect size. After adjustment for confounders, the odds of controlling LDL in women taking Lovastatin, Rosuvastatin, and Simvastatin were 0.27 (0.03, 0.45) lower in comparison with men. Also, in participant who took 3 types of statins, the odds of controlling LDL were significantly different between Lor and Arab compared with Fars ethnicity. After adjustment to all confounders (full model), the odds of controlling LDL were lower for Gilak in Lovastatin, Rosuvastatin, and Simvastatin by 0.64 (0.47, 0.75); 0.61 (0.43, 0.73); 0.63 (0.46, 0.74) respectively and higher for Arab in Lovastatin, Rosuvastatin, and Simvastatin by 4.63 (18.28, 0.73); 4.67 (17.47, 0.74); 4.55 (17.03, 0.71) respectively compared to Fars. Conclusions: Major differences in different gender and ethnicities may have had led to disparities in statin use and LDL control. Awareness of the statins impact on high LDL cholesterol based on different ethnicities can help health decision-makers to close the observed gaps in statin use and control LDL to prevent CAD problems. © 2023 The Authors
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