Huang, Jia-Yi, Chan, Yap-Hang 
ORCID: 0000-0001-5384-8468, Tse, Yi-Kei, Yu, Si-Yeung, Li, Hang-Long ORCID: 0000-0002-2294-2977, Chen, Cong ORCID: 0000-0001-9076-3148, Zhao, Chun-Ting, Liu, Ming-Ya, Wu, Mei-Zhen ORCID: 0000-0003-2674-5097, Ren, Qing-Wen ORCID: 0000-0003-0712-9299 et al (show 6 more authors)
(2023)
Statin Therapy Is Associated With a Lower Risk of Heart Failure in Patients With Atrial Fibrillation: A Population-Based Study.
Journal of the American Heart Association, 12 (23).
e032378-.
Abstract
<h4>Background</h4>Whether statin use can reduce the risk of heart failure (HF) remains controversial. The present study evaluates the association between statin use and HF in patients with atrial fibrillation.<h4>Methods and results</h4>Patients with newly diagnosed atrial fibrillation from 2010 to 2018 were included. An inverse probability of treatment weighting was used to balance baseline covariates between statin users (n=23 239) and statin nonusers (n=29 251). The primary outcome was incident HF. Cox proportional hazard models with competing risk regression were used to evaluate the risk of HF between statin users and nonusers. The median age of the cohort was 74.7 years, and 47.3% were women. Over a median follow-up of 5.1 years, incident HF occurred in 3673 (15.8%) statin users and 5595 (19.1%) statin nonusers. Statin use was associated with a 19% lower risk of HF (adjusted subdistribution hazard ratio, 0.81 [95% CI, 0.78-0.85]). Restricted to the statin users, duration of statin use was measured during follow-up; compared with short-term use (3 months to <2 years), there was a stepwise reduction in the risk of incident HF among those with 2 to <4 years of statin use (subdistribution hazard ratio, 0.86 [95% CI, 0.84-0.88]), 4 to <6 years of statin use (subdistribution hazard ratio, 0.74 [95% CI, 0.72-0.76]), and ≥6 years of statin use (subdistribution hazard ratio, 0.71 [95% CI, 0.69-0.74]). Subgroup analysis showed consistent reductions in the risk of HF with statin use.<h4>Conclusions</h4>Statin use was associated with a decreased risk of incident HF in a duration-dependent manner among patients with atrial fibrillation.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Humans, Atrial Fibrillation, Hydroxymethylglutaryl-CoA Reductase Inhibitors, Probability, Risk, Aged, Female, Male, Heart Failure |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 06 Feb 2024 11:13 |
| Last Modified: | 06 Feb 2024 11:13 |
| DOI: | 10.1161/jaha.123.032378 |
| Open Access URL: | https://doi.org/10.1161/JAHA.123.032378 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3178455 |
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