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Heart transplant
patients who begin taking a cholesterol-lowering statin drug within
days following their surgery have significantly better eight-year
survival rates, according to German researchers.
The researchers
at Munich-Bogenhausen hospital, reporting in the journal Circulation,
said patients started on simvastatin four days after their heart
transplant had an 88.6 percent survival rate compared to 59.5
percent for patients who did not start statin treatment until
four years after their surgery.
The authors
also reported that early treatment with simvastatin dramatically
reduced development of coronary artery thickening called transplant
vasculopathy, a major long term complication of heart transplantation.
After 8 years,
only 24.4 percent of patients who were started early on simvastatin
had developed transplant vasculopathy compared to 54.7 percent
in the later group.
There was
no difference in organ function between the two groups, the researchers
added.
"Simvastatin
therapy initiated early after heart transplantation leads to significantly
better eight-year survival rates and a significantly lower incidence
of transplant vasculopathy without impairment of organ function
or severe adverse effects," the researchers concluded.
Other
sources: Circulation
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