Transatlantic Lipid Guideline Divergence: Same Data But Different Interpretations

Author:

Orringer Carl E.1,Tokgozoglu Lale2ORCID,Maki Kevin C.34,Ray Kausik K.5ORCID,Saseen Joseph J.6ORCID,Catapano Alberico L.78ORCID

Affiliation:

1. Department of Medicine Cardiovascular Division University of Miami Miller School of Medicine Miami FL

2. Department of Cardiology Hacettepe University Ankara Turkey

3. Department of Applied Health Science Indiana University School of Public Health Bloomington IN

4. Midwest Biomedical Research Addison IL

5. Imperial Centre for Cardiovascular Disease Prevention Department of Primary Care and Public Health Imperial College London United Kingdom

6. Departments of Clinical Pharmacy and Family Medicine Schools of Pharmacy and Medicine University of Colorado Anschutz Medical Campus Aurora CO

7. Department of Pharmacological and Biomolecular Sciences University of Milan Italy

8. IRCCS MultiMedica Sesto S. Giovanni Milan Italy

Abstract

Abstract Despite consensus that excessive circulating concentrations of apoB‐lipoproteins is a key driver for the atherosclerotic process and that treatments that low‐density lipoprotein cholesterol lowering by up‐regulation of low‐density lipoprotein cholesterol receptor expression reduces that risk, divergent viewpoints on interpretation of study data have resulted in substantial differences in European and American lipid guideline recommendations. This article explores those differences and highlights the importance of understanding guideline‐based lipid management to improve patient care and reduce the risk of clinical atherosclerotic cardiovascular disease.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Cardiology and Cardiovascular Medicine

Reference36 articles.

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2. 2019 ESC/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk

3. Low-density lipoproteins cause atherosclerotic cardiovascular disease: pathophysiological, genetic, and therapeutic insights: a consensus statement from the European Atherosclerosis Society Consensus Panel

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5. Shared decision making interventions: theoretical and empirical evidence with implications for health literacy;Stacey D;Stud Health Technol Inform,2017

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