Statins and the liver

Cardiol Clin. 2015 May;33(2):257-65. doi: 10.1016/j.ccl.2015.02.005.

Abstract

Lipid lowering, particularly with 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitors ("statins"), reduces the risk of cardiovascular disease. Patients with chronic liver disease present challenges to the use of lipid medications. In the case of most liver disorders, the concern has been one of safety. There is evidence that most lipid-lowering medications can be used safely in many situations, although large outcomes trials are lacking. This review examines lipid physiology and cardiovascular risk in specific liver diseases and reviews the evidence for lipid lowering and the use of statins in chronic liver disease.

Keywords: Chronic liver disease; Dyslipidemia; Hepatic transaminases; Statins.

Publication types

  • Meta-Analysis
  • Review

MeSH terms

  • Cardiovascular Diseases / prevention & control*
  • Global Health
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / adverse effects*
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use
  • Incidence
  • Lipids / blood*
  • Liver / drug effects
  • Liver / metabolism
  • Liver Diseases* / blood
  • Liver Diseases* / epidemiology
  • Liver Diseases* / etiology
  • Risk Factors
  • Transaminases / blood*

Substances

  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Lipids
  • Transaminases