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Statins Can Boost Brain Hemorrhage Risk After Stroke


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Dr. Eric Smith, associate director of the Acute Stroke Services at Massachusetts General Hospital and Harvard Medical School, thinks statins shouldn't be used in patients who have had a hemorrhagic stroke.

"In my practice, when I see a patient with hemorrhagic stroke, I don't consider that to be an indication for starting a statin, based on the results of this trial," Smith said.

However, for patients who have had a hemorrhagic stroke and are at risk of having a heart attack, Smith does use statins, but at substantially lower doses than were used in SPARCL.

Text Continues Below



"I start with a low dose and see if that will get cholesterol down to the target level," Smith said. "When I reach the target level, I stop."

More information

For more on stroke, visit the American Stroke Association.

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Copyright © 2007 ScoutNews, LLC. All rights reserved.
Last updated 12/12/2007

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SOURCES: Larry B. Goldstein, M.D., director, Duke Center for Cerebrovascular Disease and Duke Stroke Center, Duke University Medical Center, Durham, N.C.; Wade Smith, M.D., Ph.D., director, Neurovascular Service, and professor, neurology, University of California, San Francisco; Eric Smith, M.D., M.P.H., assistant professor, neurology, and associate director, Acute Stroke Services, Massachusetts General Hospital and Harvard Medical School, Boston; Majaz Moonis, M.D., director, stroke prevention clinic, University of Massachusetts Memorial Medical Center, Worcester; Dec. 12, 2007, Neurology online


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