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- W3081988264 abstract "Proprotein convertase subtilisin/kexin type 9 (PCSK9) targets the degradation of low-density lipoprotein (LDL) receptors; it has been proved that its inhibition improves cardiovascular outcomes in patients with established atherosclerotic cardiovascular disease (ASCVD). Herein, we review the current status of PCSK9 inhibitors in clinical practice and the future scope of PCSK9 inhibition. The results of two recent large clinical trials reveal that two PCSK9 monoclonal antibodies evolocumab and alirocumab reduce the risk of a cardiovascular event on top of background statin therapy in patients with stable ASCVD and those with recent acute coronary syndrome, respectively. However, there are several ongoing concerns regarding the efficacy in reducing mortality, cost-effectiveness, and long-term safety of extremely low LDL cholesterol levels with PCSK9 inhibition. The results of ongoing cardiovascular outcomes trials with PCSK9 monoclonal antibodies for primary prevention and with small interfering RNA to PCSK9 for secondary prevention may help to shape the use of this new therapeutic class." @default.
- W3081988264 created "2020-09-08" @default.
- W3081988264 creator A5035456738 @default.
- W3081988264 creator A5076710423 @default.
- W3081988264 date "2020-09-01" @default.
- W3081988264 modified "2023-10-16" @default.
- W3081988264 title "Proprotein convertase subtilisin/kexin type 9 inhibition in cardiovascular disease: current status and future perspectives" @default.
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- W3081988264 doi "https://doi.org/10.3904/kjim.2020.140" @default.
- W3081988264 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7487297" @default.
- W3081988264 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/32921006" @default.
- W3081988264 hasPublicationYear "2020" @default.
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