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Title
Effects of atorvastatin on dyslipidemia in uraemic
patients on peritoneal dialysis .
Purpose
To evaluate the efficacy and safety of atorvastatin,
a potent cholesterol- and triglyceride-lowering agent,
in peritoneal dialysis patients with dyslipidemia .
Patients
31 peritoneal dialysis patients with hypercholesterolemia
(mean age 57 ± 16 years; mean duration of peritoneal
dialysis
27 ± 17 months).
Follow-up
4 months
Treatment regimen
Atorvastatin 10-40 mg/day
Results
Mean LDL cholesterol levels decreased significantly
by 42% and 46% from 204 ± 23 mg/dl to 119 ±
27 mg/dl and
198 ± 37 to 104 ± 21 mg/dl in the primary
and secondary prevention patients respectively.
Mean triglyceride levels decreased by 37% and
26% from 289 ± 132 mg/dl to 186 ± 92 mg/dl
and 201 ± 62 to 150 ± 54
mg/dl in the primary and secondary prevention patients
respectively.
Nineteen primary prevention and seven secondary
prevention patients achieved the LDL cholesterol target.
The
triglyceride target was achieved by 15 of the 19 hypertriglyceridemic
patients.
After 4 months, there were no changes in enzyme
levels .
Conclusion
Atorvastatin is an effective and safe lipid-lowering
agent for peritoneal dialysis patients with mixed dyslipidemia.
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