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Managing hypercholesterolemia and preventing cardiovascular events in elderly and younger Chinese adults: focus on rosuvastatin

Authors Wang Z, Ge JB

Received 5 August 2013

Accepted for publication 19 September 2013

Published 9 December 2013 Volume 2014:9 Pages 1—8

DOI https://doi.org/10.2147/CIA.S41356

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Zhen Wang, Junbo Ge

Department of Cardiology, Zhongshan Hospital, Shanghai, People's Republic of China

Abstract: Coronary heart disease (CHD) is the leading cause of death worldwide. The efficacy and safety of statins in primary and secondary prevention of CHD is confirmed in several large studies, and rosuvastatin is the latest statin on market. We review the published literature on rosuvastatin in Chinese people. The pharmacokinetics of rosuvastatin in Chinese is somewhat different from that in Caucasians, but this does not influence the linear relationship between dosage and efficacy and with no drug accumulation. Rosuvastatin 5–20 mg/day is effective and safe in decreasing low-density lipoprotein cholesterol in both younger and elderly patients with hypercholesterolemia, even in very elderly patients. Rosuvastatin also shows anti-inflammatory and antiatherosclerosis features, such as reducing carotid intima-media thickness and plaque area. Rosuvastatin can also improve the prognosis of Chinese CHD patients, such as in the case of acute myocardial infarction. Its adverse-event rate is low and comparable to other statins. In conclusion, rosuvastatin is effective and safe for younger or elderly Chinese patients.

Keywords: rosuvastatin, Chinese, younger, elderly

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