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Volume 355:2368-2371 November 30, 2006 Number 22
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Statin Therapy after Stroke or Transient Ischemic Attack

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 by Kent, D. M.
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To the Editor: In the August 10 issue, Amarenco et al. report the results of the Stroke Prevention by Aggressive Reduction in Cholesterol Levels (SPARCL) study.1 The study of high-dose atorvastatin for stroke offers promising results, but also raises some serious concerns. One concern is that 55 patients who received high-dose atorvastatin, as compared with 11 who received placebo, had liver enzyme elevations that were more than three times the upper limit of the normal range. These results mirror those of a previous study of high-dose atorvastatin in which liver enzyme elevations occurred six times more often with high-dose atorvastatin . . . [Full Text of this Article]




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