PMID- 36834166 OWN - NLM STAT- MEDLINE DCOM- 20230228 LR - 20231117 IS - 1660-4601 (Electronic) IS - 1661-7827 (Print) IS - 1660-4601 (Linking) VI - 20 IP - 4 DP - 2023 Feb 16 TI - The Role of Preoperative Chronic Statin Therapy in Heart Transplant Receipts-A Retrospective Single-Center Cohort Study. LID - 10.3390/ijerph20043471 [doi] LID - 3471 AB - BACKGROUND: Statin therapy has been proven to reduce the risk of cardiovascular events. The objective of our retrospective study was to investigate the relationship between preoperative chronic administration of statins to postoperative 2-month heart transplantation complications. METHODS: A total number of 38 heart transplantation recipients from the Cardiovascular and Transplant Emergency Institute of Targu Mures between May 2014 and January 2021 were included in our study. RESULTS: In logistic regression, we found a statistical significance between statin treatment and the presence of postoperative complications of any cause (OR: 0.06, 95% CI: 0.008-0.56; p = 0.0128), simultaneously presenting an elevated risk for early-postoperative acute kidney injury (AKI). From the statin group, atorvastatin therapy had a higher risk of type 2 diabetes mellitus (T2DM) development (OR: 29.73, 95% CI: 1.19-741.76; p = 0.0387) and AKI (OR: 29.73, 95% CI: 1.19-741.76; p = 0.0387). C-reactive protein (CRP), total cholesterol (TC), and low-density lipoprotein cholesterol (LDL-c) represented risk factors, atorvastatin administration being independently associated with lower CRP values. CONCLUSIONS: Chronic previous administration of statins represented a protective factor to the development of 2-month postoperative complications of any cause in heart transplant receipts. FAU - Baba, Dragos-Florin AU - Baba DF AUID- ORCID: 0000-0002-4004-9648 AD - Emergency Institute for Cardiovascular Diseases and Transplantation, 540142 Targu Mures, Romania. AD - Department of Cell and Molecular Biology, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540142 Targu Mures, Romania. FAU - Suciu, Horatiu AU - Suciu H AD - Emergency Institute for Cardiovascular Diseases and Transplantation, 540142 Targu Mures, Romania. AD - Department of Surgery, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540142 Targu Mures, Romania. FAU - Avram, Calin AU - Avram C AUID- ORCID: 0000-0003-1488-3329 AD - Department of Medical Informatics and Biostatistics, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540142 Targu Mures, Romania. FAU - Danilesco, Alina AU - Danilesco A AD - Department of Cell and Molecular Biology, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540142 Targu Mures, Romania. FAU - Moldovan, Diana Andreea AU - Moldovan DA AD - Emergency Institute for Cardiovascular Diseases and Transplantation, 540142 Targu Mures, Romania. FAU - Rauta, Radu Catalin AU - Rauta RC AD - Faculty of Medicine, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540142 Targu Mures, Romania. FAU - Huma, Laurentiu AU - Huma L AUID- ORCID: 0000-0002-9413-7803 AD - Emergency Institute for Cardiovascular Diseases and Transplantation, 540142 Targu Mures, Romania. AD - Department of Cell and Molecular Biology, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540142 Targu Mures, Romania. FAU - Sin, Ileana Anca AU - Sin IA AD - Department of Cell and Molecular Biology, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540142 Targu Mures, Romania. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230216 PL - Switzerland TA - Int J Environ Res Public Health JT - International journal of environmental research and public health JID - 101238455 RN - 0 (Hydroxymethylglutaryl-CoA Reductase Inhibitors) RN - A0JWA85V8F (Atorvastatin) RN - 0 (Cholesterol, LDL) SB - IM MH - Humans MH - *Hydroxymethylglutaryl-CoA Reductase Inhibitors/adverse effects MH - Atorvastatin MH - Retrospective Studies MH - *Diabetes Mellitus, Type 2/complications MH - Cohort Studies MH - *Heart Transplantation/adverse effects MH - Cholesterol, LDL MH - *Acute Kidney Injury/etiology MH - Postoperative Complications PMC - PMC9959876 OTO - NOTNLM OT - C-reactive protein OT - atorvastatin OT - complications OT - heart transplant OT - statin COIS- The authors declare no conflict of interest. EDAT- 2023/02/26 06:00 MHDA- 2023/03/03 06:00 PMCR- 2023/02/16 CRDT- 2023/02/25 02:30 PHST- 2023/02/01 00:00 [received] PHST- 2023/02/14 00:00 [revised] PHST- 2023/02/15 00:00 [accepted] PHST- 2023/02/25 02:30 [entrez] PHST- 2023/02/26 06:00 [pubmed] PHST- 2023/03/03 06:00 [medline] PHST- 2023/02/16 00:00 [pmc-release] AID - ijerph20043471 [pii] AID - ijerph-20-03471 [pii] AID - 10.3390/ijerph20043471 [doi] PST - epublish SO - Int J Environ Res Public Health. 2023 Feb 16;20(4):3471. doi: 10.3390/ijerph20043471.