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Patterns of Lipid Lowering Therapy Use Among Older Adults in a Managed Care Advantage Plan in the United States - PubMed

Patterns of Lipid Lowering Therapy Use Among Older Adults in a Managed Care Advantage Plan in the United States - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/36268844/

Background: The prevalence of cardiovascular events is increasing. There are many new lipids lowering therapies available in recent years. Increased evidence through literature and guidelines suggests that the use of...


Conclusions: Most patients were on monotherapy and statins with low non-statin use. The new users among them were more likely to discontinue and interrupt therapy, highlighting the limitations and issues that older patients face that need to increase adherence.

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Patients with high cardiovascular risk as candidates to bempedoic acid after treatment with statins, ezetimibe and PCSK9 inhibitors. An estimation and cost-effectiveness analysis - PubMed

Patients with high cardiovascular risk as candidates to bempedoic acid after treatment with statins, ezetimibe and PCSK9 inhibitors. An estimation and cost-effectiveness analysis - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/36219195/

Low density lipoprotein cholesterol (LDLc) is the lead effector of atherosclerosis and main treatment target. Bempedoic acid is a novel oral drug in the therapeutic armamentarium able to reduce LDLc....


Conclusions: As conclusions, between one third and half of the patients could achieve the target LDL proposed in the 2019 ESC/EAS Guidelines. Approximately 10% of them could also benefit from treating hypertriglyceridemia as indicated in the 2021 ESC Guidelines on Cardiovascular Disease Prevention. Patients with medium and low-intensity statins...

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Shared decision-making in treating hyperlipidemia

Cholesterol management has evolved to become increasingly complex and individualized. Newer guidelines from the American College of Cardiology (ACC) and American Heart Association (AHA) detail risk assessment, novel non-statin treatment options, concerns centered on patient subgroups, and the value of therapy.

Treatment plans are now highly personalized, and experts recommend shared decision-making to fulfill patient needs. When discussing cholesterol management with patients, 4 tenets to keep in mind include the following:

  1. stress the importance of a heart-healthy lifestyle spanning the patient’s life;
  2. discuss the 10-year risk of atherosclerotic cardiovascular disease per the Pooled Cohort Equations, as well as mitigating risk factors;
  3. explain that although statins are the foundation of treatment, add-on options are available for patients on maximally tolerated statins who need to further lower their LDL-C levels;
  4. address special treatment algorithms in at-risk patient subgroups.

What has worked for you when advising patients on lipid-lowering therapy? What role does shared decision-making play when caring for your patients with hyperlipidemia?

  • 3yr
    Shared decision making giving patients an active role in their Rxs is more likely making patients more responsible and compliant, therefore it is a win win situation
  • 3yr
    Shared decision making is critical so that patients feel empowered and are more likely to be compliant. Patients are often reluctant to try statin medications but maybe willing to Show More

Show More Comments

  • Saved
Shared decision-making in treating hyperlipidemia

Cholesterol management has evolved to become increasingly complex and individualized. Newer guidelines from the American College of Cardiology (ACC) and American Heart Association (AHA) detail risk assessment, novel non-statin treatment options, concerns centered on patient subgroups, and the value of therapy.



Treatment plans are now highly personalized, and experts recommend shared decision-making to fulfill patient needs. When discussing cholesterol management with patients, 4 tenets to keep in mind include the following:




  1. stress the importance of a heart-healthy lifestyle spanning the patient’s life;

  2. discuss the 10-year risk of atherosclerotic cardiovascular disease per the Pooled Cohort Equations, as well as mitigating risk factors;

  3. explain that although statins are the foundation of treatment, add-on options are available for patients on maximally tolerated statins who need to further lower their LDL-C levels;

  4. address special treatment algorithms in at-risk patient subgroups.



What has worked for you when advising patients on lipid-lowering therapy? What role does shared decision-making play when caring for your patients with hyperlipidemia?


  • 3yr
    Shared decision making giving patients an active role in their Rxs is more likely making patients more responsible and compliant, therefore it is a win win situation
  • 3yr
    Shared decision making is critical so that patients feel empowered and are more likely to be compliant. Patients are often reluctant to try statin medications but maybe willing to Show More

Show More Comments

  • Saved
Shared decision-making in treating hyperlipidemia

Cholesterol management has evolved to become increasingly complex and individualized. Newer guidelines from the American College of Cardiology (ACC) and American Heart Association (AHA) detail risk assessment, novel non-statin treatment options, concerns centered on patient subgroups, and the value of therapy.



Treatment plans are now highly personalized, and experts recommend shared decision-making to fulfill patient needs. When discussing cholesterol management with patients, 4 tenets to keep in mind include the following:




  1. stress the importance of a heart-healthy lifestyle spanning the patient’s life;

  2. discuss the 10-year risk of atherosclerotic cardiovascular disease per the Pooled Cohort Equations, as well as mitigating risk factors;

  3. explain that although statins are the foundation of treatment, add-on options are available for patients on maximally tolerated statins who need to further lower their LDL-C levels;

  4. address special treatment algorithms in at-risk patient subgroups.



What has worked for you when advising patients on lipid-lowering therapy? What role does shared decision-making play when caring for your patients with hyperlipidemia?


  • 3yr
    Shared decision making giving patients an active role in their Rxs is more likely making patients more responsible and compliant, therefore it is a win win situation
  • 3yr
    Shared decision making is critical so that patients feel empowered and are more likely to be compliant. Patients are often reluctant to try statin medications but maybe willing to Show More

Show More Comments