Nuevos fármacos para el tratamiento de la hipercolesterolemia

Statins are the preferred treatment for hypercholesterolemia and several studies have demonstrated their long-term safety and efficacy in reducing cardiovascular morbidity and mortality. However, in some cases of severe hypercholesterolemia such as homozygous and heterozygous familial hypercholester...

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Autores principales: Cuevas,Ada, Farías,María Magdalena, Alonso,Rodrigo
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2014
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000700008
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spelling oai:scielo:S0034-988720140007000082014-12-10Nuevos fármacos para el tratamiento de la hipercolesterolemiaCuevas,AdaFarías,María MagdalenaAlonso,Rodrigo Anticholesteremic agents Hypercholesterolemia, familial combined Lipido-lowering therapy Lomitapide Mipomersen Statins are the preferred treatment for hypercholesterolemia and several studies have demonstrated their long-term safety and efficacy in reducing cardiovascular morbidity and mortality. However, in some cases of severe hypercholesterolemia such as homozygous and heterozygous familial hypercholesterolemia or statin intolerant patients, statins can be less efficient. In recent years, new lipid-lowering agents with novel mechanisms of action have been developed to reduce LDL-cholesterol in patients with severe hypercholesterolemia, associated or not to conventional lipid-lowering therapy. These therapies include microsomal transfer protein inhibitor (Lomitapide), antisense oligonucleotide to Apo B100 (Mipomersen) and monoclonal antibodies against Proprotein convertase subtilisin/kexin type 9 (PCSK9). Different studies have shown the great effectiveness of these new therapies. Short-term studies confirmed their adequate security profile, especially in patients with homozygous familiar hypercholesterolemia or severe hypercholesterolemia. Some of these agents have been also tested in statin-intolerant patients. However, long-term studies are needed to evaluate their safety, effectiveness and impact on cardiovascular risk reduction.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.142 n.7 20142014-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000700008es10.4067/S0034-98872014000700008
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Anticholesteremic agents
Hypercholesterolemia, familial combined
Lipido-lowering therapy
Lomitapide
Mipomersen
spellingShingle Anticholesteremic agents
Hypercholesterolemia, familial combined
Lipido-lowering therapy
Lomitapide
Mipomersen
Cuevas,Ada
Farías,María Magdalena
Alonso,Rodrigo
Nuevos fármacos para el tratamiento de la hipercolesterolemia
description Statins are the preferred treatment for hypercholesterolemia and several studies have demonstrated their long-term safety and efficacy in reducing cardiovascular morbidity and mortality. However, in some cases of severe hypercholesterolemia such as homozygous and heterozygous familial hypercholesterolemia or statin intolerant patients, statins can be less efficient. In recent years, new lipid-lowering agents with novel mechanisms of action have been developed to reduce LDL-cholesterol in patients with severe hypercholesterolemia, associated or not to conventional lipid-lowering therapy. These therapies include microsomal transfer protein inhibitor (Lomitapide), antisense oligonucleotide to Apo B100 (Mipomersen) and monoclonal antibodies against Proprotein convertase subtilisin/kexin type 9 (PCSK9). Different studies have shown the great effectiveness of these new therapies. Short-term studies confirmed their adequate security profile, especially in patients with homozygous familiar hypercholesterolemia or severe hypercholesterolemia. Some of these agents have been also tested in statin-intolerant patients. However, long-term studies are needed to evaluate their safety, effectiveness and impact on cardiovascular risk reduction.
author Cuevas,Ada
Farías,María Magdalena
Alonso,Rodrigo
author_facet Cuevas,Ada
Farías,María Magdalena
Alonso,Rodrigo
author_sort Cuevas,Ada
title Nuevos fármacos para el tratamiento de la hipercolesterolemia
title_short Nuevos fármacos para el tratamiento de la hipercolesterolemia
title_full Nuevos fármacos para el tratamiento de la hipercolesterolemia
title_fullStr Nuevos fármacos para el tratamiento de la hipercolesterolemia
title_full_unstemmed Nuevos fármacos para el tratamiento de la hipercolesterolemia
title_sort nuevos fármacos para el tratamiento de la hipercolesterolemia
publisher Sociedad Médica de Santiago
publishDate 2014
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000700008
work_keys_str_mv AT cuevasada nuevosfarmacosparaeltratamientodelahipercolesterolemia
AT fariasmariamagdalena nuevosfarmacosparaeltratamientodelahipercolesterolemia
AT alonsorodrigo nuevosfarmacosparaeltratamientodelahipercolesterolemia
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