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05-04-2024 | Rheumatology | Review

Decoding the Intricacies of Statin-Associated Muscle Symptoms

Authors: Tara Fallah Rastegar, Imtiaz Ahmed Khan, Lisa Christopher-Stine

Published in: Current Rheumatology Reports

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Abstract

Purpose of Review

Hyperlipidemia is the major cardiovascular morbidity and mortality risk factor. Statins are the first-line treatment for hyperlipidemia. Statin-associated muscle symptoms (SAMS) are the main reason for the discontinuation of statins among patients. The purpose of this review is to guide clinicians to recognize the difference between self-limited and autoimmune statin myopathy in addition to the factors that potentiate them. Finally, treatment strategies will be discussed. This review mostly focuses on new data in the past 3 years.

Recent Findings

Recent findings suggest that SAMS is a complex and multifactorial condition that involves mitochondrial dysfunction, oxidative stress, and immune-mediated mechanisms. Effective management of SAMS requires a thorough evaluation of the patient’s symptoms, risk factors, and medication history, as well as consideration of alternative treatment options.

Summary

While statins are effective in reducing the risk of cardiovascular events, their use is associated with a range of adverse effects, including SAMS.
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Metadata
Title
Decoding the Intricacies of Statin-Associated Muscle Symptoms
Authors
Tara Fallah Rastegar
Imtiaz Ahmed Khan
Lisa Christopher-Stine
Publication date
05-04-2024
Publisher
Springer US
Published in
Current Rheumatology Reports
Print ISSN: 1523-3774
Electronic ISSN: 1534-6307
DOI
https://doi.org/10.1007/s11926-024-01143-y