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62-year-old Man With Unstable Angina

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Presentation on theme: "62-year-old Man With Unstable Angina"— Presentation transcript:

1 Beyond Statins for LDL-C Reduction: Need for Additional Emerging Targets?

2 62-year-old Man With Unstable Angina

3 62-year-old Man: Physical and Laboratory Examinations

4 Clinical Questions

5 62-year-old Man: Etiology of Hypercholesterolemia

6 Familial Hypercholesterolemia

7 Other Disorders With High LDL-C

8 Approaches Targeting Lipoprotein Metabolism

9 ARIC: What Is the Optimal LDL-C?

10 GWAS SNPs: Association Between Each Polymorphism and LDL-C

11 GWAS SNPs: Association Between Each Polymorphism and Risk of CHD

12 Effect of Each Unit Long-Term Exposure to Lower LDL-C on Risk of CHD

13 HDL-Associated SNPs

14

15 62-year-old Man: Treatment Options

16 Why Have Trials Failed When a Second Agent Is Added to a Statin?

17 HPS2-THRIVE: ER Niacin With Laropiprant in Patients on Simvastatin With or Without Ezetimibe

18 IMPROVE-IT: Ezetimibe/Simvastatin Combination vs Simvastatin Monotherapy

19 Lomitapide: Phase 3 Results in Homozygous FH Patients

20 Mipomersen: Phase 3 Results in Homozygous FH Patients

21 ARIC: Nonsense Mutations in PCSK9 and CV Risk Factors in 3363 Black Participants

22 ARIC: PCSK9 Loss-of-Function Mutations, LDL-C, and CHD Risk

23

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25 SAR236553 Phase 2: Change in LDL-C at 4-Week Dosing Intervals on Atorvastatin

26 PCSK9-Directed Therapies in Development

27 RUTHERFORD: Effect of AMG 145 on Percentage Change in LDL-C From Baseline

28 CETP Inhibitors

29 Ongoing Trials to Inhibit Inflammation Associated With Lipoproteins

30 Abbreviations

31 Abbreviations (cont)


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