Unique features of dyslipidemia in women across a lifetime and a tailored approach to management

Purpose of Review: Cardiovascular disease is a leading cause of death worldwide. Dyslipidemia is a critical modifiable risk factor for the prevention of cardiovascular disease. Dyslipidemia affects a large population of women and is especially pervasive within racial/ethnic minorities. Recent Findin...

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Main Authors: Neeja Patel, Nikita Mittal, Michael J. Wilkinson, Pam R. Taub
Format: Article
Language:English
Published: Elsevier 2024-06-01
Series:American Journal of Preventive Cardiology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666667724000345
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author Neeja Patel
Nikita Mittal
Michael J. Wilkinson
Pam R. Taub
author_facet Neeja Patel
Nikita Mittal
Michael J. Wilkinson
Pam R. Taub
author_sort Neeja Patel
collection DOAJ
description Purpose of Review: Cardiovascular disease is a leading cause of death worldwide. Dyslipidemia is a critical modifiable risk factor for the prevention of cardiovascular disease. Dyslipidemia affects a large population of women and is especially pervasive within racial/ethnic minorities. Recent Findings: Dyslipidemia in pregnancy leads to worse outcomes for patients and creates increased cardiovascular risk for women at an older age. However, women remain underscreened and undertreated compared to men. Females also comprise a small portion of clinical trial participants for lipid lowering agents with increased disease prevalence compared to trial representation. However, recent lipid trials have shown different efficacies of therapies such as ezetimibe, inclisiran, and bempedoic acid with a greater relative benefit for women. Summary: Pathophysiology of dyslipidemia varies between men and women and across a woman's lifetime. While increased lipid levels or lipid imbalances are more common in postmenopausal women over age 50, conditions such as PCOS and FH produce higher cardiovascular risk for young women.Best practices for management of women with dyslipidemia include early screening with lifestyle intervention and pharmacotherapy with statin and non-statin agents to achieve guideline directed LDL-C thresholds.
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spelling doaj.art-253c6afb92cc48339ade20295aa4cd682024-04-11T04:42:00ZengElsevierAmerican Journal of Preventive Cardiology2666-66772024-06-0118100666Unique features of dyslipidemia in women across a lifetime and a tailored approach to managementNeeja Patel0Nikita Mittal1Michael J. Wilkinson2Pam R. Taub3University of California, Los Angeles, United StatesUniversity of California, San Diego, United StatesUniversity of California, San Diego, United StatesUniversity of California, San Diego, United States; Corresponding author at: 9300 Campus Point Drive, La Jolla, CA 92037.Purpose of Review: Cardiovascular disease is a leading cause of death worldwide. Dyslipidemia is a critical modifiable risk factor for the prevention of cardiovascular disease. Dyslipidemia affects a large population of women and is especially pervasive within racial/ethnic minorities. Recent Findings: Dyslipidemia in pregnancy leads to worse outcomes for patients and creates increased cardiovascular risk for women at an older age. However, women remain underscreened and undertreated compared to men. Females also comprise a small portion of clinical trial participants for lipid lowering agents with increased disease prevalence compared to trial representation. However, recent lipid trials have shown different efficacies of therapies such as ezetimibe, inclisiran, and bempedoic acid with a greater relative benefit for women. Summary: Pathophysiology of dyslipidemia varies between men and women and across a woman's lifetime. While increased lipid levels or lipid imbalances are more common in postmenopausal women over age 50, conditions such as PCOS and FH produce higher cardiovascular risk for young women.Best practices for management of women with dyslipidemia include early screening with lifestyle intervention and pharmacotherapy with statin and non-statin agents to achieve guideline directed LDL-C thresholds.http://www.sciencedirect.com/science/article/pii/S2666667724000345DyslipidemiaCardiovascular diseasePreventionLipoprotein(a), Menopause, Bempedoic acid
spellingShingle Neeja Patel
Nikita Mittal
Michael J. Wilkinson
Pam R. Taub
Unique features of dyslipidemia in women across a lifetime and a tailored approach to management
American Journal of Preventive Cardiology
Dyslipidemia
Cardiovascular disease
Prevention
Lipoprotein(a), Menopause, Bempedoic acid
title Unique features of dyslipidemia in women across a lifetime and a tailored approach to management
title_full Unique features of dyslipidemia in women across a lifetime and a tailored approach to management
title_fullStr Unique features of dyslipidemia in women across a lifetime and a tailored approach to management
title_full_unstemmed Unique features of dyslipidemia in women across a lifetime and a tailored approach to management
title_short Unique features of dyslipidemia in women across a lifetime and a tailored approach to management
title_sort unique features of dyslipidemia in women across a lifetime and a tailored approach to management
topic Dyslipidemia
Cardiovascular disease
Prevention
Lipoprotein(a), Menopause, Bempedoic acid
url http://www.sciencedirect.com/science/article/pii/S2666667724000345
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AT michaeljwilkinson uniquefeaturesofdyslipidemiainwomenacrossalifetimeandatailoredapproachtomanagement
AT pamrtaub uniquefeaturesofdyslipidemiainwomenacrossalifetimeandatailoredapproachtomanagement