Statins SHOULD be continued in all patients currently taking statins,

Statins Effectivness

Lindenauer PK, Pekow P, Wang K, Gutierrez B, Benjamin EM. Lipid-Lowering Therapy and In-Hospital Mortality Following Major Noncardiac Surgery. JAMA. 2004;291
O’Neil-Callahan, Statins decrease perioperative cardiac complications in patients undergoing noncardiac vascular surgery: The Statins for Risk Reduction in Surgery (StaRRS) study, JACA, 2005.Vol 45 issue 3

Statin’s Mechanism of Benefit

Statin Examples

  • Continue at usual dosage for patients currently on a statin
    • e.g. atorvastatin 20 mg po q24hr
  • Best time to start unknown. However, studies suggest possibly 30 days prior to surgery, but has been used in emergent surgeries with decrease in major cardiovascular events.