Medscape
Identification of
High-Risk Dyslipidemias
From Screening to Effect of Treatment
Faculty
Wei Chieh Jack Tan, MD
Adjunct Assistant Professor
Deputy Head
Senior Consultant
Department of Cardiology
Director, Coronary Care Unit
National Heart Centre Singapore
Singapore, SingaporeHigh-Risk Dyslipidemia in Asia
* Dyslipidemia is an important risk factor for CVD in Asia
* Dyslipidemia remains underdiagnosed and undertreated
in Asians
* FHis an underrecognized disorder
* Statins are the first-line therapy
* A significant proportion of patients don’t achieve the LDL target
or do not tolerate the treatment
* PCSK9 inhibitors demonstrated consistent and highly effective
reduction of LDL-C in patients taking maximally tolerated statinsCV Death, MI, Stroke, UA, or Coronary
Revascularization in the FOURIER trial
* Relative reduction of LDL-C: 59% (95% Cl: 58, 60)
* Absolute reduction of LDL-C: 56 mg/dL (95% Cl: 55, 57)
1.45 mmol/L (95% Cl: 1.42, 1.47)
<0.5 0.5to13 131018 18t026 226
0.76 0.85 0.94 0.97 reen
(0.64, 0.90) (0.76, 0.96) (0.82, 1.09) (0.86, 1.09)
Giugliano RP, et al. Lancet. 2017. [Epub ahead of print.]