Section of Cardiology, Baylor College of Medicine, Houston, TX, USA.
Cardiovascular Division, Washington University School of Medicine in St. Louis, St. Louis, MO, USA.
Curr Atheroscler Rep. 2020 Jun 18;22(8):32. doi: 10.1007/s11883-020-00856-6.
The review highlights selected studies related to cardiovascular disease (CVD) prevention that were presented at the American College of Cardiology 2020 Virtual Scientific Session (ACC.20)/World Cardiology Congress (WCC).
The studies reviewed include clinical trials on the efficacy and safety of alirocumab (Study in Participants with Homozygous Familial Hypercholesterolemia [ODYSSEY HoFH]) and evinacumab in the treatment of homozygous familial hypercholesterolemia (HoFH); Evaluating the Efficacy of E-cigarettes for Smoking Cessation (E3); the use of renal denervation in the treatment of hypertension (SPYRAL HTN-OFF MED PIVOTAL); and the assessment of vericiguat in the treatment of heart failure (A Study of Vericiguat in Participants with Heart Failure with Reduce Ejection Fraction [VICTORIA]). In addition, results from the pooled analysis of phase III trials on inclisiran and secondary analysis examining eicosapentaenoic acid levels and cardiovascular outcomes from the Reduction of Cardiovascular Events with Icosapent Ethyl-Intervention Trial (REDUCE-IT) were included. Finally, we discuss studies examining the use of polygenic risk score with low density lipoprotein cholesterol (LDL-C) and systolic blood pressure (SBP) on lifetime cardiovascular risk. The studies presented at the ACC.20/WCC represent notable contributions in the field of CVD prevention.
本文重点回顾了在美国心脏病学会 2020 年虚拟科学会议(ACC.20)/世界心脏病学大会(WCC)上展示的与心血管疾病(CVD)预防相关的部分研究。
综述研究包括评估依洛尤单抗(在纯合子家族性高胆固醇血症患者中的疗效和安全性研究[ODYSSEY HoFH])和依维莫司治疗纯合子家族性高胆固醇血症(HoFH)的疗效和安全性的临床试验;评估电子烟戒烟效果的研究(E3);肾脏去神经术治疗高血压的疗效(SPYRAL HTN-OFF MED PIVOTAL);维立西呱治疗心力衰竭的疗效评估(心力衰竭患者中维立西呱的研究[VICTORIA])。此外,还纳入了inclisiran 三期临床试验的汇总分析结果,以及从 REDUCE-IT 试验中观察到的二十碳五烯酸水平和心血管结局的二次分析结果。最后,我们讨论了使用载脂蛋白 B 与低密度脂蛋白胆固醇(LDL-C)和收缩压(SBP)的多基因风险评分对终生心血管风险的研究。ACC.20/WCC 上展示的研究代表了 CVD 预防领域的重要贡献。