Document Type : Original Article

Authors

Smt. Sarojini Ramulamma College of Pharmacy, Seshadrinagar, Mahabubnagar, Telangana 509001, India

Abstract

The objective of the study is to compare and evaluate the efficacy of atorvastatin (group – A) versus rosuvastatin (group – B) on baseline parameters like lipid profile tests and to assess the risk of metabolic syndrome using a Mets calculator. A total of 100 patients were enclosed in the present study who met the inclusion criteria. They were divided into two groups based on their treatment plan Group A includes 24 males and 26 females while Group B includes 23 males and 27 females. The mean differences before treatment for group A and group B are as follows, HDL (31.52±0.35 and 28.34±0.480), LDL (161.4±1.09 and 163.16±0.94), Total cholesterol (252.82±1.09 and 255.56±1.26) and Triglycerides (214.2±0.86 and 215.98±0.62), VLDL (35.98±0.56 and 36.12±0.43). The mean differences after treatment for group A and group B are as follows HDL (39.92±0.46 and 42.04±0.30), LDL (144.96±0.68 and 138.34±0.73), Total cholesterol (181.48±1.98 vs 174.32±2.08), Triglycerides (185.94±1.22 vs 181.74±1.77), VLDL (27.14±0.21 and 24.72±0.27). Group B (P=0.001) exhibited a significantly greater reduction in cholesterol levels as compared to Group A (P = 0.002). The reductions in LDL, VLDL, Total Cholesterol, and Triglycerides along with increased HDL levels were found to be significantly more in the Rosuvastatin group. In this study, we observed that patients on Rosuvastatin exhibited better control over lipid profile when compared to patients who are on Atorvastatin. Since, this study was conducted on a smaller number of patients, to make consecutive remarks about the superiority of either of the treatment regimen; further analysis of clinical trials is required for appropriate selection of the best statin therapy.  

Graphical Abstract

Comparative study on the efficacy of statin therapy in lowering cholesterol and assessing the risk of metabolic syndrome in patients under statins therapy

Keywords

Main Subjects

Selected author of this article by journal

Dr. Paspula Soumya
Sarojini Ramulamma College of Pharmacy
ORCID

Open Access

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  1. Niwa K (2021) Metabolic syndrome and coronary artery disease in adults with congenital heart disease. Cardiovascular diagnosis and therapy 11 (2): 563-576. doi:https://doi.org/10.21037/cdt-20-781
  2. Lin T-Y, Chien K-L, Chiu Y-H, Chuang P-C, Yen M-F, Chen H-H (2021) Dynamics of detailed components of metabolic syndrome associated with the risk of cardiovascular disease and death. Scientific Reports 11 (1): 3677. doi:https://doi.org/10.1038/s41598-021-83118-y
  3. Bhalwar R (2020) Metabolic syndrome: The Indian public health perspective. Medical Journal Armed Forces India 76 (1): 8-16. doi:https://doi.org/10.1016/j.mjafi.2019.12.001
  4. Yoon SJ, Kim SK, Lee NY, Choi YR, Kim HS, Gupta H, Youn GS, Sung H, Shin MJ, Suk KT (2021) Effect of Korean Red Ginseng on metabolic syndrome. Journal of Ginseng Research 45 (3): 380-389. doi:https://doi.org/10.1016/j.jgr.2020.11.002
  5. Na Z, Jiang H, Meng Y, Song J, Feng D, Fang Y, Shi B, Li D (2022) Association of galactose and insulin resistance in polycystic ovary syndrome: A case-control study. eClinicalMedicine 47): 101379. doi:https://doi.org/10.1016/j.eclinm.2022.101379
  6. Herrett E, Strongman H, Gadd S, Tomlinson L, Nitsch D, Bhaskaran K, Williamson E, van Staa T, Sofat R, Timmis A, Wells S, Smeeth L, Jackson R (2022) The importance of blood pressure thresholds versus predicted cardiovascular risk on subsequent rates of cardiovascular disease: a cohort study in English primary care. The Lancet Healthy Longevity 3 (1): e22-e30. doi:https://doi.org/10.1016/S2666-7568(21)00281-6
  7. Handelsman Y, Jellinger PS, Guerin CK, Bloomgarden ZT, Brinton EA, Budoff MJ, Davidson MH, Einhorn D, Fazio S, Fonseca VA, Garber AJ, Grunberger G, Krauss RM, Mechanick JI, Rosenblit PD, Smith DA, Wyne KL (2020) Consensus Statement by the American Association of Clinical Endocrinologists and American College of Endocrinology on the Management of Dyslipidemia and Prevention of Cardiovascular Disease Algorithm – 2020 Executive Summary. Endocrine Practice 26 (10): 1196-1224. doi:https://doi.org/10.4158/CS-2020-0490
  8. Alberti KGMM, Zimmet PZ (1998) Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus. Provisional report of a WHO consultation. Diabetic medicine 15 (7): 539-553. doi:https://doi.org/10.1002/(SICI)1096-9136(199807)15:7%3C539::AID-DIA668%3E3.0.CO;2-S
  9. Music M, Dervisevic A, Pepic E, Lepara O, Fajkic A, Ascic-Buturovic B, Tuna E (2015) Metabolic Syndrome and Serum Liver Enzymes Level at Patients with Type 2 Diabetes Mellitus. Medical archives (Sarajevo, Bosnia and Herzegovina) 69 (4): 251-255. doi:https://doi.org/10.5455/medarh.2015.69.251-255
  10. Kachur S, Morera R, De Schutter A, Lavie CJ (2018) Cardiovascular Risk in Patients with Prehypertension and the Metabolic Syndrome. Current Hypertension Reports 20 (2): 15. doi:https://doi.org/10.1007/s11906-018-0801-2
  11. Ansarimoghaddam A, Adineh HA, Zareban I, Iranpour S, HosseinZadeh A, Kh F (2018) Prevalence of metabolic syndrome in Middle-East countries: Meta-analysis of cross-sectional studies. Diabetes & Metabolic Syndrome: Clinical Research & Reviews 12 (2): 195-201. doi:https://doi.org/10.1016/j.dsx.2017.11.004
  12. Zhao Y, Evans MA, Allison MA, Bertoni AG, Budoff MJ, Criqui MH, Malik S, Ouyang P, Polak JF, Wong ND (2019) Multisite atherosclerosis in subjects with metabolic syndrome and diabetes and relation to cardiovascular events: The Multi-Ethnic Study of Atherosclerosis. Atherosclerosis 282): 202-209. doi:https://doi.org/10.1016/j.atherosclerosis.2018.12.005
  13. Haswell C, Ali A, Page R, Hurst R, Rutherfurd-Markwick K (2021) Potential of Beetroot and Blackcurrant Compounds to Improve Metabolic Syndrome Risk Factors. Metabolites 11 (6): 338. doi:https://doi.org/10.3390/metabo11060338
  14. Alshammary AF, Alharbi KK, Alshehri NJ, Vennu V, Ali Khan I (2021) Metabolic syndrome and coronary artery disease risk: a meta-analysis of observational studies. International Journal of Environmental Research and Public Health 18 (4): 1773. doi:https://doi.org/10.3390/ijerph18041773
  15. Werida R, Khairat I, Khedr NF (2021) Effect of atorvastatin versus rosuvastatin on inflammatory biomarkers and LV function in type 2 diabetic patients with dyslipidemia. Biomedicine & Pharmacotherapy 135): 111179. doi:https://doi.org/10.1016/j.biopha.2020.111179
  16. Kummen M, Solberg OG, Storm-Larsen C, Holm K, Ragnarsson A, Trøseid M, Vestad B, Skårdal R, Yndestad A, Ueland T, Svardal A, Berge RK, Seljeflot I, Gullestad L, Karlsen TH, Aaberge L, Aukrust P, Hov JR (2020) Rosuvastatin alters the genetic composition of the human gut microbiome. Scientific Reports 10 (1): 5397. doi:https://doi.org/10.1038/s41598-020-62261-y
  17. Fahmy MIM, Sayed RH, El-Yamany MF, El-Naggar R, A. Eliwa H (2022) Rosuvastatin and co-enzyme Q10 improve high-fat and high-fructose diet-induced metabolic syndrome in rats via ameliorating inflammatory and oxidative burden. Biomedicine & Pharmacotherapy 153): 113526. doi:https://doi.org/10.1016/j.biopha.2022.113526
  18. Al-Sabti H, Al-Hinai AT, Al-Zakwani I, Al-Hashmi K, Al Mahmeed W, Arafah M, Shehab A, Al Tamimi O, Al Awadhi M, Al Herz S, Al Anazi F, Al Nemer K, Metwally O, Alkhadra A, Fakhry M, Elghetany H, Medani AR, Yusufali AH, Al Jassim O, Al Hallaq O, Baslaib F, Amin H, Al-Waili K, Al-Rasadi K (2022) The Achievement of Non-high-density Lipoprotein Cholesterol Target in Patients with Very High Atherosclerotic Cardiovascular Disease Risk Stratified by Triglyceride Levels Despite Statin-controlled Low-density Lipoprotein Cholesterol. Oman medical journal 37 (2): e367. doi:https://doi.org/10.5001/omj.2022.79
  19. Gu A, Kamat S, Argulian E (2018) Trends and disparities in statin use and low-density lipoprotein cholesterol levels among US patients with diabetes, 1999–2014. Diabetes Research and Clinical Practice 139): 1-10. doi:https://doi.org/10.1016/j.diabres.2018.02.019
  20. Santos HO, Earnest CP, Tinsley GM, Izidoro LFM, Macedo RCO (2020) Small dense low-density lipoprotein-cholesterol (sdLDL-C): Analysis, effects on cardiovascular endpoints and dietary strategies. Progress in Cardiovascular Diseases 63 (4): 503-509. doi:https://doi.org/10.1016/j.pcad.2020.04.009
  21. Chilbert MR, VanDuyn D, Salah S, Clark CM, Ma Q (2022) Combination Therapy of Ezetimibe and Rosuvastatin for Dyslipidemia: Current Insights. Drug Des Devel Ther 16): 2177-2186. doi:https://doi.org/10.2147/dddt.s332352
  22. Rizos CV, Skoumas I, Rallidis L, Skalidis E, Tziomalos K, Garoufi A, Anagnostis P, Sfikas G, Kotsis V, Doumas M, Kolovou G, Lambadiari V, Dima I, Kiouri E, Zacharis E, Agapakis D, Attilakos A, Antza C, Vlachopoulos C, Liberopoulos EN (2021) LDL cholesterol target achievement in heterozygous familial hypercholesterolemia patients according to 2019 ESC/EAS lipid guidelines: Implications for newer lipid-lowering treatments. International Journal of Cardiology 345): 119-124. doi:https://doi.org/10.1016/j.ijcard.2021.10.024
  23. Tabrizi R, Tamtaji OR, Mirhosseini N, Lankarani KB, Akbari M, Dadgostar E, Borhani-Haghighi A, Peymani P, Ahmadizar F, Asemi Z (2019) The effects of statin use on inflammatory markers among patients with metabolic syndrome and related disorders: A systematic review and meta-analysis of randomized controlled trials. Pharmacological Research 141): 85-103. doi:https://doi.org/10.1016/j.phrs.2018.12.010