General biochemical derangement related to the use of Statins in the treatment of Familial Hypercholesterolemia.

  • Sufyan Tahir Army Medical College/ Military Hospital Rawalpindi, Pakistan.
  • Muhammad Usman Aziz Fatima Medical and Dental College, Faisalabad.
  • Hafiza Seerat Fatima Civil Hospital, Faisalabad.
Keywords: Biochemical Markers, Familial Hypercholesterolemia, Glycosylated Hemoglobin, Lipid Profile, Liver Function Tests, Renal Function Tests, Thyroid Stimulating Hormone


Objectives: This study was carried out to evaluate the patients of familial hypercholesterolemia (FH) on statin therapy for general biochemical abnormalities. Study Design: Case-Control observational study. Setting: Department of Chemical Pathology (Army Medical College/Military Hospital Rawalpindi) in collaboration with center for research in experimental and applied medicine (CREAM lab). Periods: From Jan 2017 to Jan 2018. Material & Methods: A total of one hundred participants were recruited in this study. These hundred cases were further divided into two groups. First group comprised of fifty disease free healthy cases, while the second group included the patients of familial hypercholesterolemia diagnosed on the basis of Simon Broom criteria. This second group was categorized into further two groups on the basis of patients taking statin therapy or not. Fasting blood sample was taken from these cases complete blood count, liver function tests, fasting plasma glucose, glycosylated hemoglobin, lipid profile and renal function tests were performed on these blood samples and the results were compared to find out any biochemical variance in control and cases. Results of this study were analyzed on SPSS v.23. Results: The analysis of lipid profile including total cholesterol (T.Ch), triglycerides (TRG), low-density lipoprotein cholesterol (LDL-C) and high density cholesterol (HDL-C) showed a highly significant difference in cases and controls. Alanine aminotransferease (ALT), alkaline phosphatase (ALP) and bilirubin also showed a significant variation. While diabetic profile, urea, creatinine, hemoglobin and body mass index didn’t show any significant variation among cases and controls. Conclusion: It is well-known that statins prove to be more superior to other classes of anti-hyperlipidemic, but at same time use of statins are also associated with other biochemical derangements. Diabetes mellitus is one of them. Therefore, a close monitoring protocol is required during statin therapy.

Author Biographies

Sufyan Tahir, Army Medical College/ Military Hospital Rawalpindi, Pakistan.

MBBS, M.PHIL (Chemical Pathology)

Consultant Chemical Pathologist

Department of Pathology

Muhammad Usman, Aziz Fatima Medical and Dental College, Faisalabad.

MBBS, FCPS (Hematology)

Associate Professor

Department of Pathology


Hafiza Seerat Fatima, Civil Hospital, Faisalabad.


Medical Officer

Department of Ophthalmology