Are statins 'IDEAL' for non-alcoholic fatty liver disease?

被引:30
作者
Athyros, Vasilios G. [1 ]
Katsiki, Niki [1 ]
Karagiannis, Asterios [1 ]
Mikhailidis, Dimitri P. [2 ]
机构
[1] Aristotle Univ Thessaloniki, Hippokration Hosp, GR-54006 Thessaloniki, Greece
[2] UCL, Sch Med, London NW3 2QG, England
关键词
Cardiovascular disease; Clinical benefit; High dose; Non-alcoholic fatty liver disease; Statin treatment; Transaminases; LOW-DENSITY-LIPOPROTEIN; CORONARY-HEART-DISEASE; POST-HOC ANALYSIS; METABOLIC SYNDROME; ALANINE AMINOTRANSFERASE; MULTIFACTORIAL TREATMENT; CLINICAL-SIGNIFICANCE; CARDIOVASCULAR RISK; GREEK ATORVASTATIN; EVALUATION GREACE;
D O I
10.1185/03007995.2013.855192
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Non-alcoholic fatty liver disease (NAFLD) is the most common chronic liver disease and cause of elevated serum liver enzyme activities in the developed world1. Obesity, diabetes mellitus (DM), and dyslipidaemia, common components of the metabolic syndrome (MetS), are frequently associated with NAFLD; 75-100% of patients with MetS or DM have NAFLD2. NAFLD is characterized by hepatic triglyceride (TG) infiltration in the absence of alcohol abuse or chronic liver disease1. NAFLD includes a spectrum of conditions varying from steatosis to steatosis with inflammation [steatohepatitis (NASH)], necrosis, fibrosis or cirrhosis that rarely progresses to hepatocellular carcinoma3. NAFLD and NASH are the hepatic manifestations of MetS and are associated with increased cardiovascular disease (CVD) risk4. Most NAFLD/NASH patients die from CVD rather than from liver disease4,5. There is no universally accepted treatment for NAFLD1-5.
引用
收藏
页码:229 / 231
页数:3
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