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Updated: Feb 8, 2026

Author Spotlight: Assessing the Cardiovascular Profile of Patients with Metabolic Syndrome
Published on: September 27, 2024
Cardiovascular Risk Assessment in Patients with Hypertriglyceridemia
Matthew C Evans1, Tapati Stalam1, Michael Miller2
1Department of Medicine, Cardiovascular Medicine Division, University of Maryland School of Medicine, 110 S Paca St., Suite 7-124, Baltimore, MD, 21201, USA.
Hypertriglyceridemia poses significant cardiovascular risk, even with optimized cholesterol levels. Ongoing research explores treatments like pemafibrate and omega-3 fatty acids to manage this residual risk.
Area of Science:
- Cardiology
- Metabolic Disorders
- Pharmacology
Background:
- Cardiovascular risk assessment in hypertriglyceridemia is complex due to comorbidities like hypertension and diabetes.
- Residual cardiovascular risk persists despite aggressive management of low-density-lipoprotein cholesterol (LDL-C).
Purpose of the Study:
- To quantify the cardiovascular risk associated with hypertriglyceridemia.
- To review meta-analyses and subgroup analyses of trials on hyperlipidemia treatment.
Main Methods:
- Examination of meta-analyses.
- Subgroup analyses of major randomized controlled trials focused on hyperlipidemia treatment.
Main Results:
- Recent trials with PCSK9 inhibitors show substantial residual cardiovascular risk despite significant LDL-C reduction.
- Optimization of LDL-C with statins, PCSK9 inhibitors, ezetimibe, bile acid sequestrants, and niacin does not eliminate residual risk.
Conclusions:
- Hypertriglyceridemia remains a significant contributor to residual cardiovascular risk.
- Ongoing trials investigating pemafibrate and omega-3 fatty acids are crucial for managing hypertriglyceridemia and its associated cardiovascular outcomes.
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