Cholesterol reduction

Introduction

  • Increased cholesterol is associated with increased risk of future vascular events
  • Statins should be considered after ischaemic stroke to reduce the risk of subsequent stroke
  • Statins are a family of drugs, although simvastatin is usually the first choice
  • Statins are metabolised in the liver
  • Statins occasionally have adverse effects. It is useful to know the common ones so that the dose can be reduced or an alternative statin substituted
  • Reducing dietary fats has been shown to provide significant protection from cardiovascular events
  • Using statins combined with a low fat diet is the optimum treatment option.