Residual Risk After Statin Therapy:

Slides:



Advertisements
Similar presentations
Use of the Thyroid Hormone Analogue Eprotirome in Statin-Treated Dyslipidemia N Engl J Med Mar 11;362(10): Paul W. Ladenson, M.D., Jens D.
Advertisements

ATP III Guidelines Specific Dyslipidemias. 2 Specific Dyslipidemias: Very High LDL Cholesterol (  190 mg/dL) Causes and Diagnosis Genetic disorders –Monogenic.
Lipid Disorders and Management in Diabetes
Dyslipidemia/Lipid management in Diabetes. M ECHANISMS R ELATING I NSULIN R ESISTANCE AND D YSLIPIDEMIA  TG  Apo B  VLDL (hepatic lipase) Kidney (CETP)CEHDL.
Epanova ® - Omega-3- carboxylic acids Manufacturer: AstraZeneca FDA Approval Date: 05/2014.
THE LIPID PANEL What are we missing? Robert St. Amant, MD, FAAFP Diplomate, American Board of Clinical Lipidology Baton Rouge General Medical Director,
Global impact of ischemic heart disease World Heart Federation, 2011.
Lipid Lowering Substudy Trial of the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial JAMA 2002;288: ALLHAT- LLT.
Fenofibrate Intervention and Event Lowering in Diabetes FIELDFIELD Presented at The American Heart Association Scientific Sessions, November 2005 Presented.
HCS Objective To determine if measurement of postprandial TG level improves risk prediction of CV events over traditional risk markers in stable patients.
ORIGIN Outcome Reduction with an Initial Glargine Intervention (ORIGIN) Trial Overview Large international randomized controlled trial in patients with.
VBWG HOPE-TOO: Results of the HOPE Study Extension.
ALLHAT 6/5/ CARDIOVASCULAR DISEASE OUTCOMES IN HYPERTENSIVE PATIENTS STRATIFIED BY BASELINE GLOMERULAR FILTRATION RATE (3 GROUPS by GFR)
6/5/ CARDIOVASCULAR DISEASE OUTCOMES IN HYPERTENSIVE PATIENTS STRATIFIED BY BASELINE GLOMERULAR FILTRATION RATE (4 GROUPS by GFR) ALLHAT.
DIABETES INSTITUTE JOURNAL CLUB CARINA SIGNORI, D.O., M.P.H. DECEMBER 15, 2011 Atherothrombosis intervention in metabolic syndrome with low HDL/High Triglycerides:
The presence of cardiovascular disease is an important predictor of mortality in patients with end-stage renal disease, as it accounts for almost 50 percent.
Circulation. 2013;128: R4 이태인 / Prof. 우종신.
FOURIER Further Cardiovascular Outcomes Research With PCSK9 Inhibition in Subjects With Elevated Risk
Supplemental Figure S1 (A) (B) Any Statin ↓Randomisation
Title slide.
Triglycerides Cholesterol HDL-C or N NIDDM N or or N IDDM.
The Anglo Scandinavian Cardiac Outcomes Trial
AIM HIGH Niacin plus Statin to prevent vascular events
First time a CETP inhibitor shows reduction of serious CV events
AIM-HIGH Niacin Plus Statin to Prevent Vascular Events
Updates and Perspectives in Diabetic Dyslipidemia
Oxford Niacin Trial.
PCSK9 Inhibitors Post-CVOTs
ACC 2018 Orlando, Florida Anti-Inflammatory Therapy with Canakinumab for the Prevention and Management of Diabetes A Pre-Specified Secondary Endpoint from.
Omega-3 Prescriptions vs Supplements in Practice
Back to the Basics of Dyslipidemia
Clinical Trials in Residual Cardiovascular Risk: A Fresh Perspective
The Chemical Differences Between EPA and DHA.
Select Topics in Cardiovascular Medicine
Managing Complex Hypertension: What Every Physician Should Know
Case Study: 45-year-old Man
What Do We Know About LDL-C?
Managing Hard-To-Treat Hypertension: What Every Physician Should Know
The Chemical Differences Between EPA and DHA.
Diabetes Increases Risk of CVD
An Update on PCSK9 Inhibitors
Omega-3 carboxylic acids in patients with severe hypertriglyceridemia: EVOLVE II, a randomized, placebo-controlled trial  Erik S.G. Stroes, MD, PhD, Andrey.
A New Chapter for CV Risk Management in Diabetes - Challenges & Opportunities.
What's New in Dyslipidemia?
CV Risk Doesn't End in the Cath Lab
Personalizing Statin Therapy in Patients With HIV
PCSK9 Inhibitors and Cardiovascular Outcomes
CV Risk Management in T2DM: What Did We Learn from ADA 2016?
CV Risk Doesn't End in the Cath Lab
WHAT’S NEW WITH THE TREATMENTS FOR HIGH-RISK DYSLIPIDEMIA?
Residual CV Risk in Patients With Dyslipidemia and Stable CAD
Advances in Hypertriglyceridemia Treatment
Screening, Lipid Stabilization, and Placebo Run-in
Lipid-Lowering Arm (ASCOT-LLA): Results in the Subgroup of Patients with Diabetes Peter S. Sever, Bjorn Dahlöf, Neil Poulter, Hans Wedel, for the.
Ezetimibe/simvastatin
LRC-CPPT and MRFIT Content Points:
Elevated Admission Plasma Glucose Following ACS
Reducing Risk for CV Outcomes
ACCELERATE Trial design: Patients at high vascular risk were randomized to either evacetrapib 130 mg daily or placebo. They were followed for 30 months.
New Lipid-Lowering Guidelines
HOPE-3 Trial design: Patients without known cardiovascular disease, and with an intermediate risk of cardiovascular events, were randomized in a 2 x 2.
An Update on PCSK9 Inhibitors
2015 EASD In Review: CV Risk management in t2dm
Omega-3s vs Pure EPA in Clinical Practice
Intensive Lowering of Low-Density Lipoprotein Cholesterol Levels for Primary Prevention of Coronary Artery Disease  Dean G. Karalis, MD  Mayo Clinic Proceedings 
in diabetic patients with mixed dyslipidemia
BRIDGING CVD AND T2DM: LESSONS LEARNED FROM OUTCOME TRIALS
The Elevated Role of GLP-1 RAs in Diabetes Management: Which Patients Should We Aim For?
Specific Dyslipidemias: Very High LDL Cholesterol (>190 mg/dL)
Translating Data From Trial to Practice
Presentation transcript:

Residual Risk After Statin Therapy:

Residual CVD Risk Despite OMT

TG Independently Predicts CVD: Confusion About Adjusting for Non-HDL-C

Lipoprotein Lipase Clears Triglycerides From the Circulation

Recent Genetic Studies Do Support Causality of TGRLP in CV risk

Lipoprotein Lipase: A Central Hub in Metabolism of TGRLP

Overview of TG Metabolism

Elevated TG Concentrations in Non-Statin-Treated Patients Associated With MACE and MI

Increasing TG Levels Increase Risk of Pancreatitis

Assessing TGRLP Levels: Which Method Is Best?

No Fasting Required: Practical Algorithm for Screening and Managing Elevated TG

Treatment Approach for TG ≥ 500 mg/dL to Reduce Risk of Pancreatitis

Treatment Approach for TG 200 to 500 mg/dL

CV Outcomes Trials in Patients With Hypertriglyceridemia

Risk Difference vs Placebo of HTG Subgroups Primary and Secondary CVD Prevention Trials

Why Have CVOTs of TG-Lowering Drugs Failed to Reach Primary Endpoints?

Fish Oil Supplements vs Prescription Omega-3 FAs

What Is on the Horizon?

Conclusion