Intensive treatment of dyslipidemia in regional outpatient cardiology office


Authors: Alexander Klabník
Authors‘ workplace: Kardiologická ambulancia, Námestovo
Published in: AtheroRev 2017; 2(3): 169-174
Category: Reviews

Overview

We presented briefly initial experiences of outpatient cardiologist in the first ever MedPed center in the Orava region. Reduction of low-density lipoprotein cholesterol (LDL) is recognized as the single most effective strategy for reduction of cardiovascular events. Familial hypercholesterolemia is common and under-recognized cause of premature atherosclerosis. It is undertreated worldwide despite urgent need to early, long-term and aggressive treatment. However, in routine clinical practice many patients fail to reach their LDL treatment goal due to low compliance and intolerance or poor therapeutic response. In addition, several patients are intolerant to statins due to side effects. Many physicians do not up-titrate statin doses sufficient to attain LDL targets. Recommended goals are difficult to achieve in the majority of patients with widely available treatments (highest tolerable doses of potent statins with monotherapy alone or in combination with ezetimibe). Promising results of clinical trials with PCSK9 inhibitors opened new therapeutic horizons but they may not be cost-effective at current costs.

Key words:
alirocumab, evolocumab, ezetimibe, familial hypercholesterolemia, high intensity statin


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Labels
Angiology Diabetology Internal medicine Cardiology General practitioner for adults
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