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The 2025 ESC/EAS Dyslipidaemia Focused Update: Clinical Interpretation and Practical Implications - PubMed

3 days ago
  • #Dyslipidaemia Management
  • #ESC/EAS Guidelines
  • #LDL Cholesterol Targets
  • The 2025 ESC/EAS Dyslipidaemia Focused Update revises the 2019 guidelines with new evidence influencing clinical decisions.
  • LDL-C treatment targets remain unchanged, but the approach to achieving them is reshaped, emphasizing faster intensification and broader combination therapy.
  • Improved risk stratification tools include SCORE2/SCORE2-OP, lipoprotein(a) [Lp(a)], and coronary artery calcium (CAC) scoring.
  • New therapies like bempedoic acid, inclisiran, and evinacumab are supported, especially for high-risk patients or those with statin intolerance.
  • A proactive, early-intensification approach is reinforced for acute coronary syndrome (ACS) patients.
  • The update promotes earlier, more personalized, and sustained lipid lowering to reduce cumulative atherosclerotic exposure.