Statin treatment may reduce cardiovascular risk in people with HIV not only by lowering cholesterol but also by reducing coronary plaque and inflammation, Professor Steven Grinspoon told the Conference on Retroviruses and Opportunistic Infections (CROI 2025) in San Francisco last week.
He was reporting results from a substudy of the REPRIEVE trial, the international study which showed that daily use of pitavastatin by people with HIV reduced the risk of a major cardiovascular event such as stroke or heart attack by 36% in people judged to have a low-to-moderate risk of heart disease.
The substudy looked at how underlying coronary artery disease and inflammation affected the risk of cardiovascular disease and the response to statin treatment in 804 participants from the United States. It found some evidence that trial participants with pre-existing coronary plaque derived greater benefit from taking pitavastatin as preventive treatment than those without signs of coronary artery disease.
Source : aidsmap
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