Eradicating Atherosclerosis: Should We Start Statins at Younger Ages and at Lower LDL-Cs.

Autor: O'Toole, Thomas, Kelsey, Michelle D., Shah, Nishant P., McGarrah, Robert W., Pagidipati, Neha J.
Zdroj: Current Cardiology Reports; Oct2022, Vol. 24 Issue 10, p1397-1406, 10p
Abstrakt: Purpose of Review: Given the increasing burden of cardiovascular disease, we review the literature for earlier initiation of statin therapy at younger ages and lower low-density lipoprotein cholesterol (LDL-C) levels, with the goal of preventing the development of atherosclerosis prior to clinical events. Recent Findings: There is a rising prevalence of dyslipidemia among younger adults. Although guidelines offer recommendations for adults over 40, there is little guidance for the management of younger adults with moderately elevated LDL-C levels. Earlier and more aggressive statin use may slow progression, or even halt atherosclerosis, and may likewise be beneficial and cost-effective on a population level. Summary: Further research is needed to define the exact age and LDL-C level at which to start statin therapy. Until then, more detailed risk stratification with lab testing and imaging should be used to identify younger adults at the highest risk. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index