Abstract

Statins are used widely for the treatment of cardiovascular (CV) disease because they improve the lipid profile and reduce the rate of coronary and cerebrovascular diseases. During the past 15 years, the overall risk profile of patients treated with statins has changed considerably, becoming more complex due to a progressive increase in the proportion of subjects with several concomitant diseases. Indeed, the presence of dyslipidemia is frequently associated with arterial hypertension, diabetes and the metabolic syndrome, as well as with CV and renal disease. In this patient population, the ideal statin should bear some properties that allow for both a substantial improvement in the lipid profile and a reduction in global CV risk. In particular, the ideal statin should provide both a reduction in total and LDL-C and an increase in HDL-C, effects that have been described for statins such as pitavastatin. The clinical efficacy of the ideal statin should be confirmed in a large population of patients and acr...

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