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Pharmacist-Initiated Team-Based Intervention for Optimizing Guideline-Directed Lipid Therapy of Hospitalized Patients With Acute Coronary Syndrome: Pilot Study Using a Stepped-Wedge Cluster Design

Pharmacist-Initiated Team-Based Intervention for Optimizing Guideline-Directed Lipid Therapy of Hospitalized Patients With Acute Coronary Syndrome: Pilot Study Using a Stepped-Wedge Cluster Design

In addition to decreasing low-density lipoprotein (LDL) levels, statins also promote improvement of endothelial function, decrease of platelet aggregation, and reduction of vascular inflammation [12]. LDL levels are used to monitor the intensity of therapy [13-15]. Guideline-directed therapies, including statins have been underused by patients with ACS [16].

Gayle L Flo, Mateo Alzate Aguirre, Benjamin R Gochanour, Kristin J Hynes, Christopher G Scott, Angela L Fink, Adelaide M Arruda-Olson

JMIR Cardio 2025;9:e58837

Peer Review of “Discovery of Novel Inhibitors of HMG-CoA Reductase Using Bioactive Compounds Isolated From Cochlospermum Species Through Computational Methods (Preprint)”

Peer Review of “Discovery of Novel Inhibitors of HMG-CoA Reductase Using Bioactive Compounds Isolated From Cochlospermum Species Through Computational Methods (Preprint)”

Inhibiting HMG-Co A (3-hydroxy-3-methylglutaryl-coenzyme A) reductase (HMGR) is a key therapeutic strategy for managing hypercholesterolemia, with statins serving as the most widely used competitive inhibitors; however, their prolonged use is associated with adverse effects. This study aims to identify novel, natural inhibitors of HMGR as potential alternatives to statins.

Shailee Rasania, Sylvester Sakilay, Sayan Mitra, Randa Salah Gomaa Mahmoud, Julie Moonga

JMIRx Bio 2025;3:e74084

Strategies to Improve Health Care Provider Prescription of and Patient Adherence to Guideline-Recommended Cardiovascular Medications for Atherosclerotic Occlusive Disease: Protocol for Two Systematic Reviews and Meta-Analyses of Randomized Controlled Trials

Strategies to Improve Health Care Provider Prescription of and Patient Adherence to Guideline-Recommended Cardiovascular Medications for Atherosclerotic Occlusive Disease: Protocol for Two Systematic Reviews and Meta-Analyses of Randomized Controlled Trials

International, evidence-based clinical practice guidelines strongly and consistently recommend that adults with CVD, CAD, PAD, and polyvascular disease be prescribed and take antiplatelets and statins (ie, hydroxymethylglutaryl-Co A reductase inhibitors) [7-11]. They also recommend antihypertensives for those patients with concurrent hypertension [7-11].

Aidan M Kirkham, Dean A Fergusson, Justin Presseau, Daniel I McIsaac, Risa Shorr, Derek J Roberts

JMIR Res Protoc 2025;14:e60326

Evaluation of the Accuracy, Credibility, and Readability of Statin-Related Websites: Cross-Sectional Study

Evaluation of the Accuracy, Credibility, and Readability of Statin-Related Websites: Cross-Sectional Study

This may explain the response to the television program “Catalyst” in Australia [14], whose criticism of statins resulted in 11% of patients (in a survey by the Australian National Heart Foundation of 1094 patients) who watched the program ceasing to take their cholesterol-lowering medication and significant and sustained changes in statin usage, with 2.6% fewer statins (equivalent to 14,005 dispensing) each week [15]. There is considerable heterogeneity in the quality of web-based health information [16].

Eunice Ling, Domenico de Pieri, Evenne Loh, Karen M Scott, Stephen C H Li, Heather J Medbury

Interact J Med Res 2024;13:e42849

Efficacy of eHealth Technologies on Medication Adherence in Patients With Acute Coronary Syndrome: Systematic Review and Meta-Analysis

Efficacy of eHealth Technologies on Medication Adherence in Patients With Acute Coronary Syndrome: Systematic Review and Meta-Analysis

As such, people with ACS typically require multiple medications including aspirin, β-blockers, and statins to prevent future cardiac events [4]. Current guidelines recommend the long-term use of 5 classes of medications in secondary prevention following ACS: aspirin, statins, β-blockers, angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin receptor blockers (ARBs), and in addition P2 Y12 inhibitors for 1 year to reduce future ACS incidents and associated cardiac complications.

Akshaya Srikanth Bhagavathula, Wafa Ali Aldhaleei, Tesfay Mehari Atey, Solomon Assefa, Wubshet Tesfaye

JMIR Cardio 2023;7:e52697

Leveraging National Claims and Hospital Big Data: Cohort Study on a Statin-Drug Interaction Use Case

Leveraging National Claims and Hospital Big Data: Cohort Study on a Statin-Drug Interaction Use Case

Indeed, 36.9% [16] of French people aged 34 to 65 years have hypercholesterolemia, and statins are the most prescribed lipid-lowering treatment drugs in France [17]. The current European treatment guidelines [18] recommend statins as the first-choice drug for hypercholesterolemia management. However, 10% to 25% of patients treated with statins experience muscle side effects [19], including rhabdomyolysis (incidence: 1-3 in 100,000 persons per year) [20].

Aurélie Bannay, Mathilde Bories, Pascal Le Corre, Christine Riou, Pierre Lemordant, Pascal Van Hille, Emmanuel Chazard, Xavier Dode, Marc Cuggia, Guillaume Bouzillé

JMIR Med Inform 2021;9(12):e29286

Associations of Medications With Lower Odds of Typical COVID-19 Symptoms: Cross-Sectional Symptom Surveillance Study

Associations of Medications With Lower Odds of Typical COVID-19 Symptoms: Cross-Sectional Symptom Surveillance Study

Of the medications associated with lower odds of self-reported typical COVID-19 symptoms, statins showed the most distinct results. Most common symptoms reported by participants using statins were dry cough, sore throat, and headache. In addition, statins were associated with lower odds of fever, joint or muscle pain, and loss of smell or taste. However, the latter associations did not reach statistical significance.

Dietmar Urbach, Friedemann Awiszus, Sven Leiß, Tamsin Venton, Alexander Vincent De Specht, Christian Apfelbacher

JMIR Public Health Surveill 2020;6(4):e22521

Toward Preparing a Knowledge Base to Explore Potential Drugs and Biomedical Entities Related to COVID-19: Automated Computational Approach

Toward Preparing a Knowledge Base to Explore Potential Drugs and Biomedical Entities Related to COVID-19: Automated Computational Approach

Statins are effective as lipid-lowering drugs and mainly used for the treatment of cardiovascular diseases [68]. Statins are also well known for their anti‐inflammatory effects [69] and some studies have supported the use of these drugs as part of a COVID‐19 treatment protocol [70]. Multiple clinical trials (eg, NCT04343001, NCT04380402) have been launched to determine the efficacy of statins against COVID-19 [71,72].

Junaed Younus Khan, Md Tawkat Islam Khondaker, Iram Tazim Hoque, Hamada R H Al-Absi, Mohammad Saifur Rahman, Reto Guler, Tanvir Alam, M Sohel Rahman

JMIR Med Inform 2020;8(11):e21648

Impact of Medication Adherence on Mortality and Cardiovascular Morbidity: Protocol for a Population-Based Cohort Study

Impact of Medication Adherence on Mortality and Cardiovascular Morbidity: Protocol for a Population-Based Cohort Study

A number of randomized clinical trials, meta-analyses and cohort studies have demonstrated that long-term administration of aspirin, statins, beta-blockers, and angiotensin-converting enzyme inhibitors (ACEI) or angiotensin-receptor blockers (ARB) improve survival in high-risk patients, particularly those with established CVD. Nevertheless, adherence to prescribed medication is poor for long-term drug treatment in CVD [1,4-6].

Maria Giner-Soriano, Gerard Sotorra Figuerola, Jordi Cortés, Helena Pera Pujadas, Ana Garcia-Sangenis, Rosa Morros

JMIR Res Protoc 2018;7(3):e73