Low density lipoprotein cholesterol reduction for the prevention of cardiovascular disease: Newer concepts

Low density lipoprotein cholesterol (LDL-C) is the target of lipid lowering therapy in subjects who have atherosclerotic cardiovascular disease (ASCVD) or who are at risk of developing it. There have been many debatable issues in this field. Should lifelong statins be prescribed for subjects at low...

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Main Author: Shamanna S Iyengar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Journal of Clinical and Preventive Cardiology
Subjects:
Online Access:http://www.jcpconline.org/article.asp?issn=2250-3528;year=2016;volume=5;issue=4;spage=125;epage=129;aulast=Iyengar
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author Shamanna S Iyengar
author_facet Shamanna S Iyengar
author_sort Shamanna S Iyengar
collection DOAJ
description Low density lipoprotein cholesterol (LDL-C) is the target of lipid lowering therapy in subjects who have atherosclerotic cardiovascular disease (ASCVD) or who are at risk of developing it. There have been many debatable issues in this field. Should lifelong statins be prescribed for subjects at low risk of ASCVD in primary prevention? How low one can go in LDL-C lowering and is it safe? Should we "treat to target" or just administer high or moderate or low intensity statins based on the risk category? What is the role of nonstatin drugs in lipid lowering therapy? Are proprotein convertase subtilisin/kexin type 9 inhibitors (PCSK9 inhibitors) going to be the game changers? There is an abundance of literature looking at these matters. Statins continue to be the first choice in dyslipidemia management. PCSK9 inhibitors would be a welcome addition to the armamentarium or an attractive alternative in certain situations.
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spelling doaj.art-fc927a547fb84c21847342d3bd4cf6fa2022-12-22T02:53:03ZengWolters Kluwer Medknow PublicationsJournal of Clinical and Preventive Cardiology2250-35282016-01-015412512910.4103/2250-3528.192689Low density lipoprotein cholesterol reduction for the prevention of cardiovascular disease: Newer conceptsShamanna S IyengarLow density lipoprotein cholesterol (LDL-C) is the target of lipid lowering therapy in subjects who have atherosclerotic cardiovascular disease (ASCVD) or who are at risk of developing it. There have been many debatable issues in this field. Should lifelong statins be prescribed for subjects at low risk of ASCVD in primary prevention? How low one can go in LDL-C lowering and is it safe? Should we "treat to target" or just administer high or moderate or low intensity statins based on the risk category? What is the role of nonstatin drugs in lipid lowering therapy? Are proprotein convertase subtilisin/kexin type 9 inhibitors (PCSK9 inhibitors) going to be the game changers? There is an abundance of literature looking at these matters. Statins continue to be the first choice in dyslipidemia management. PCSK9 inhibitors would be a welcome addition to the armamentarium or an attractive alternative in certain situations.http://www.jcpconline.org/article.asp?issn=2250-3528;year=2016;volume=5;issue=4;spage=125;epage=129;aulast=IyengarAtherosclerotic vascular diseaselow density lipoprotein cholesterolnonstatinsproprotein convertase subtilisin/kexin type 9 inhibitorsstatins
spellingShingle Shamanna S Iyengar
Low density lipoprotein cholesterol reduction for the prevention of cardiovascular disease: Newer concepts
Journal of Clinical and Preventive Cardiology
Atherosclerotic vascular disease
low density lipoprotein cholesterol
nonstatins
proprotein convertase subtilisin/kexin type 9 inhibitors
statins
title Low density lipoprotein cholesterol reduction for the prevention of cardiovascular disease: Newer concepts
title_full Low density lipoprotein cholesterol reduction for the prevention of cardiovascular disease: Newer concepts
title_fullStr Low density lipoprotein cholesterol reduction for the prevention of cardiovascular disease: Newer concepts
title_full_unstemmed Low density lipoprotein cholesterol reduction for the prevention of cardiovascular disease: Newer concepts
title_short Low density lipoprotein cholesterol reduction for the prevention of cardiovascular disease: Newer concepts
title_sort low density lipoprotein cholesterol reduction for the prevention of cardiovascular disease newer concepts
topic Atherosclerotic vascular disease
low density lipoprotein cholesterol
nonstatins
proprotein convertase subtilisin/kexin type 9 inhibitors
statins
url http://www.jcpconline.org/article.asp?issn=2250-3528;year=2016;volume=5;issue=4;spage=125;epage=129;aulast=Iyengar
work_keys_str_mv AT shamannasiyengar lowdensitylipoproteincholesterolreductionforthepreventionofcardiovasculardiseasenewerconcepts