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Published in: Current Cardiology Reports 4/2024

04-03-2024 | Ezetimibe | Management of Acute Coronary Syndromes (H Jneid, Section Editor)

Updates on Non-Statin LDL-Lowering Therapy

Authors: Amer Abdulla, Mostafa Shalaby, Paul Kumfa, Muhammad Raja, Joseph Allencherril, Tareq Abu Sharifeh

Published in: Current Cardiology Reports | Issue 4/2024

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Abstract

Purpose of Review

There is ample evidence of the benefits and safety of low-density lipoprotein (LDL)-lowering therapies in the prevention of atherosclerotic cardiovascular disease. While statins remain the first-line agent for LDL reduction, several new therapies are now available. This narrative review provides an overview of currently available non-statin LDL-lowering agents, specifically mechanisms of action and data on efficacy and safety. It also discusses recommendations on their use in clinical practice.

Recent Findings

Ezetimibe, PCSK9 inhibitors, and bempedoic acid have proven safe and efficacious in reducing cardiovascular events in large randomized controlled trials. Inclisiran is a promising agent that suppresses PCSK9 mRNA translation and is currently under investigation in a large clinical outcomes randomized controlled trial assessing its effect on clinical outcomes.

Summary

Expert consensus advocates for lower LDL targets in higher risk patients and escalation to or a combination of non-statin therapies as needed to achieve these goals.
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Metadata
Title
Updates on Non-Statin LDL-Lowering Therapy
Authors
Amer Abdulla
Mostafa Shalaby
Paul Kumfa
Muhammad Raja
Joseph Allencherril
Tareq Abu Sharifeh
Publication date
04-03-2024
Publisher
Springer US
Published in
Current Cardiology Reports / Issue 4/2024
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-024-02028-3

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