医学
PCSK9
血管病学
随机对照试验
临床试验
内科学
动脉粥样硬化性心血管疾病
疾病
重症监护医学
胆固醇
脂蛋白
低密度脂蛋白受体
作者
Tereza Altschmiedová,Veronika Todorovová,Michaela Šnejdrlová,M. Šatný,R Češka
标识
DOI:10.1007/s11883-022-01008-8
摘要
PCSK9 inhibitors have been shown to be the most effective class of drugs modifying the levels of LDL-cholesterol as the main risk factor for atherosclerotic cardiovascular disease. The aim of this paper is to assess the effect of monoclonal antibodies on lipid and lipoprotein metabolism in real-world practice.The outcome trials showed effective reduction of LDL-C by 56-62%. Landmark studies enrolling over a total of 46,000 patients with CHD in their medical history demonstrated the beneficial effect of both agents on cardiovascular morbidity and mortality. The data from real everyday clinical practice are very limited or missing. Even in real-world practice, PCSK9 inhibitors have been shown to be an effective, safe, and well-tolerated class of drugs with effects comparable with those reported from large randomized controlled trials.
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