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Response to letter to the editor| Volume 312, ISSUE 1-2, P196, January 15, 2012

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Does monitoring of cholesterol levels is required in the acute phase after stroke thrombolysis in statin users?

Published:October 17, 2011DOI:https://doi.org/10.1016/j.jns.2011.09.028
      Fang and Wu argue that the lack of measurement of the initial total cholesterol (TC) levels might be a selection bias, resulting in overestimation of intracerebral hemorrhage (ICH) in patients who started statin before stroke and continued this treatment in the acute phase of ischemic stroke in our study [
      • Cappellari M.
      • Deluca C.
      • Tinazzi M.
      • Tomelleri G.
      • Carletti M.
      • Fiaschi A.
      • Bovi P.
      • Moretto G.
      Does statin in the acute phase of ischemic stroke improve outcome after intravenous thrombolysis? A retrospective study.
      ]. They reported that prior statin use with TC levels ≤150 mg/dL was associated with hematoma volume and worsening outcome in Miura group's study [
      • Miura K.
      • Yoshii Y.
      • Nakamura Y.
      • Ikeda K.
      Clinicoradiological profile and serum lipid levels of intracerebral hemorrhage in prior statin users.
      ].
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      References

        • Cappellari M.
        • Deluca C.
        • Tinazzi M.
        • Tomelleri G.
        • Carletti M.
        • Fiaschi A.
        • Bovi P.
        • Moretto G.
        Does statin in the acute phase of ischemic stroke improve outcome after intravenous thrombolysis? A retrospective study.
        J Neurol Sci. 2011; 308: 128-134
        • Miura K.
        • Yoshii Y.
        • Nakamura Y.
        • Ikeda K.
        Clinicoradiological profile and serum lipid levels of intracerebral hemorrhage in prior statin users.
        Intern Med. 2011; 50: 1385-1391
        • Montaner J.
        Cholesterol measured before stroke thrombolysis is not associated with tissue plasminogen activator-related hemorrhagic transformation.
        Stroke. 2008; 39: e6
        • Wahlgren N.
        • Ahmed N.
        • Davalos A.
        • Ford G.A.
        • Ground M.
        • Hacke W.
        • Hennerici M.G.
        • Kaste M.
        • Kuelkens S.
        • Larrue V.
        • Lees K.R.
        • Roine R.O.
        • Soinne L.
        • Toni D.
        • Vaanhooren G.
        Thrombolysis with alteplase for acute ischaemic stroke in the Safe Implementation of Thrombolysis in Stroke-Monitoring Study (SITS-MOST): an observation study.
        Lancet. 2007; 369: 275-282
        • Uyttenboogaart M.
        • Koch M.W.
        • Koopman K.
        • Vroomen P.C.
        • Luijckx G.J.
        • De Keyser J.
        Lipid profile, statin use, and outcome after intravenous thrombolysis for acute ischemic stroke.
        J Neurol. 2008; 255: 875-880
        • Meier N.
        • Nedeltchev K.
        • Brekenfeld C.
        • Galimanis A.
        • Fischer U.
        • Findling O.
        • Remonda L.
        • Schroth G.
        • Mattle H.P.
        • Arnold M.
        Prior statin use, intracranial hemorrhage and outcome after intra-arterial thrombolysis for acute ischemic stroke.
        Stroke. 2009; 40: 1729-1737
        • Prinz V.
        • Endres M.
        The acute (cerebro)vascular effects of statins.
        Anesth Analg. 2009; 109: 572-584
        • Blanco M.
        • Nombela F.
        • Castellanos M.
        • Rodriguez-Yáñez M.
        • García-Gil M.
        • Leira R.
        • Lizasoain I.
        • Serena J.
        • Vivancos J.
        • Moro M.A.
        • Dávalos A.
        • Castillo J.
        Statin treatment withdrawal in ischemic stroke: a controlled randomized study.
        Neurology. 2007; 69: 904-910