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Dtsch Med Wochenschr 2022; 147(15): 1001-1012
DOI: 10.1055/a-1516-2631
Übersicht

Therapieoptionen zur LDL-C-Senkung zusätzlich zu Statinen

Therapeutic options to reduce LDL-cholesterol beyond statins
Oliver Weingärtner
,
Nikolaus Marx
,
Gerald Klose
,
Ulrich Laufs
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Die aktuellen Leitlinien für Dyslipidämie heben Statine als Eckpfeiler der pharmakologischen Lipidsenkungstherapie hervor. Ezetimib, PCSK9-Antikörper sowie Bempedosäure und Inclisiran sind neu verfügbare Optionen zur weiteren Senkung des LDL-C. Da die moderne Lipidsenkungstherapie durch einen individuellen „Treat-to-Target“-Ansatz gekennzeichnet ist, soll dieser Beitrag zu einem besseren Verständnis des Cholesterinstoffwechsels beitragen, um den rationalen Einsatz früher individualisierter Kombinationstherapien zu unterstützen.

Abstract

Current dyslipidemia guidelines emphasize statins as the cornerstone of pharmacological lipid-lowering therapy. The cholesterol absorption inhibitor ezetimibe, PCSK9-antibodies, as well as bempedoic acid and inclisiran are newly available options to further reduce LDL-cholesterol. Since modern lipid-lowering therapy is characterized by an individual, “treat-to-target” approach the aim of this review is to provide a better understanding of cholesterol metabolism to guide decision-making and the rational for using early individualized combination therapies.

Schlüsselworter

Statin - Ezetimib - PCSK9I - Bempedoinsäure - Inclisiran - Cholesterin

Key words

statins - ezetimibe - PCSK9I - bempedoic acide - fibrates - inclisiran - cholesterol


Publication History

Article published online:
01 August 2022

© 2022. Thieme. All rights reserved.

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