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Updated: Jan 2, 2026

Stimulation of Vascular Endothelial Cells Using Neutrophil Extracellular Traps in the Presence of Low-Density Lipoprotein
Published on: August 12, 2025
LDL as a therapeutic objective
Ángel Díaz Rodríguez1, Teresa Mantilla Morató2
1Centro Salud de Bembibre, León, España.
Insights
Atherosclerotic cardiovascular disease is rising, with dyslipidemia as a key risk factor. New LDL-lowering treatments, including PCSK9 inhibitors, offer breakthroughs alongside cost-effective statins for prevention.
Area of Science:
- Cardiology
- Lipidology
- Preventive Medicine
Background:
- Increasing incidence of atherosclerotic cardiovascular disease (ASCVD) in developed nations.
- Dyslipidemia, particularly elevated LDL cholesterol, is a major modifiable risk factor for ASCVD.
- Effective LDL lowering is a primary therapeutic objective for ASCVD risk reduction.
Purpose of the Study:
- To review current strategies for managing dyslipidemia to reduce cardiovascular risk.
- To highlight the role of statins and newer therapies like PCSK9 inhibitors.
- To emphasize the utility of the 2019 European Society of Cardiology/European Atherosclerosis Society guidelines in clinical practice.
Main Methods:
- Review of current literature and clinical guidelines on dyslipidemia management.
- Focus on lipid-modifying therapies, including statins and PCSK9 inhibitors.
- Analysis of evidence and recommendations from the 2019 ESC/EAS guidelines.
Main Results:
- Statins remain a cost-effective option for primary and secondary ASCVD prevention.
- PCSK9 inhibitors represent a significant advancement, offering potent LDL reduction.
- Personalized treatment goals are crucial for optimal patient outcomes.
Conclusions:
- The 2019 ESC/EAS guidelines provide a framework for evidence-based dyslipidemia management.
- A combination of established and novel therapies can effectively reduce cardiovascular risk.
- Tailoring lipid-modifying strategies to individual patient needs is essential for clinical success.
Abstract:
The incidence of atherosclerotic cardiovascular disease has increased in the developed countries. Dyslipidemia is a primary major risk factor for atherosclerotic cardiovascular disease and LDL lowering is one of the main objectives. Although treatment goals for dyslipidemias should be personalized in every patient, statins are cost-effective in primary and secondary prevention of atherosclerotic cardiovascular disease. New treatments with higher power and greater decreases in LDL, PSCK9 inhibitors, have made a new breakthrough in atherosclerotic cardiovascular disease treatment. The 2019 guidelines for de management of dyslipidemias: lipid modification to reduce cardiovascular risk (European Society of Cardiology/European Atherosclerosis Society) with the level of evidence and the strength of the recommendations can facilitate the best decisions and benefits to our patients in clinical practice.
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