Comparative effects of atorvastatin and rosuvastatin on inflammatory biomarkers: a systematic review and meta-analysis of randomized head-to-head trials.
Abu Omayer, Mohamed I Mohamed, Maryam Shahid et al.
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In 30 seconds
This systematic review and meta-analysis of 35 randomized controlled trials (n=6,148) compared the effects of atorvastatin and rosuvastatin on inflammatory biomarkers. The analysis revealed that rosuvastatin significantly reduced C-reactive protein (CRP) levels more than atorvastatin, with a mean difference of -0.16 mg/L (95% CI: -0.28 to -0.03; p=0.01).
Key findings
- Rosuvastatin reduced CRP levels more than atorvastatin, with a mean difference of -0.16 mg/L.
- The standardized mean difference for CRP reduction favored rosuvastatin at -0.17.
- No significant differences were found for IL-6, adiponectin, or TNF-alpha.
- Sensitivity analysis among low risk-of-bias studies showed a significant CRP reduction of -0.08 mg/L.
Why it matters
Understanding the comparative effects of atorvastatin and rosuvastatin on inflammatory biomarkers can help clinicians tailor statin therapy to optimize cardiovascular outcomes, particularly in patients with elevated baseline inflammation.