According to the latest international clinical guidelines, statins remain the main group of drugs effective for the treatment of dyslipidemia and the prevention of cardiovascular disease (CVD) and complications. The article discusses the links of pathogenesis and mechanisms of damage to the cardiovascular system, analyzes the relationship with comorbidity, substantiates the need to search for effective and affordable therapeutic agents in the treatment of COVID-19. Statins have mechanisms of action that can affect the penetration of the virus into human cells, have an anti-inflammatory effect, improve the functional state of the vascular endothelium and reduce the risk of complications. The effectiveness of statins in patients with COVID-19 and high cardiovascular risk suggests that they need to be continued. In real clinical practice, priority should be given to effective and safe statins. Rosuvastatin is highly effective and safe, including a low risk of drug-drug interactions, and is the optimal therapeutic agent at all stages of cardiovascular prophylaxis.