Heart medicine that lowers bad cholesterol

Original Title

Proprotein convertase subtilisn/kexin type 9 inhibitors and small interfering RNA therapy for cardiovascular risk reduction: A systematic review and meta-analysis

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Summary

Some medicines can help lower bad cholesterol and prevent heart problems in people who are already at high risk.

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Surprising Findings

Alirocumab showed a 65% reduction in MACE and lower mortality, while Evolocumab only showed a 15% MACE reduction and no significant mortality benefit.

Evolocumab lowers cholesterol more (61% vs 46%), so it’s counterintuitive that Alirocumab shows much larger clinical benefits. Typically, greater LDL reduction correlates with better outcomes.

Practical Takeaways

If you’re at high risk for heart disease and your cholesterol isn’t controlled on statins, ask your doctor about PCSK9 inhibitors or Inclisiran.

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