Related Experiment Video
Updated: Jan 11, 2026

5/6 Nephrectomy Using Sharp Bipolectomy Via Midline Laparotomy in Rats
Published on: April 4, 2025
Managing dyslipidemia in chronic kidney disease: a comprehensive overview of evidence and recommendations
Ji Yoon Kim1, Suk Min Chung2,3, Nam Hoon Kim4
1Division of Endocrinology and Metabolism, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Insights
Managing dyslipidemia in chronic kidney disease (CKD) is crucial for reducing cardiovascular disease (CVD) risk. Tailored lipid-lowering strategies are essential due to unique pathophysiological mechanisms in CKD patients.
Area of Science:
- Nephrology
- Cardiology
- Pharmacology
Background:
- Patients with chronic kidney disease (CKD) face a substantially elevated risk of cardiovascular disease (CVD).
- Dyslipidemia management is a cornerstone of cardiovascular risk reduction in CKD.
- Altered lipid profiles and unique pathophysiological mechanisms in CKD necessitate specialized treatment approaches.
Purpose of the Study:
- To review clinical trials on lipid-lowering therapies in CKD patients.
- To compare international and regional clinical practice guidelines for dyslipidemia in CKD.
- To analyze cardiovascular outcomes of various lipid-lowering agents in CKD.
Main Methods:
- Systematic review of clinical trials and guideline comparison.
- Assessment of cardiovascular outcomes for statins, ezetimibe, PCSK9 inhibitors, fibrates, and omega-3 fatty acids.
- Discussion of therapeutic strategies for different CKD patient subgroups (pre-dialysis, dialysis, transplant recipients).
Main Results:
- Evidence synthesis on the efficacy and safety of lipid-lowering agents in CKD.
- Comparative analysis of guideline recommendations for dyslipidemia management.
- Identification of optimal strategies for diverse CKD populations.
Conclusions:
- Tailored lipid-lowering therapies are vital for managing CVD risk in CKD.
- Guideline adherence and individualized treatment plans are recommended.
- Further research may refine therapeutic approaches for specific CKD subgroups.
Abstract:
Patients with chronic kidney disease (CKD) have a significantly increased risk of developing cardiovascular disease (CVD), making dyslipidemia management a critical component of cardiovascular risk reduction in this population. However, as the estimated glomerular filtration rate declines, distinct pathophysiological mechanisms-unlike those observed in the general population-contribute to the development and progression of CVD. Consequently, dyslipidemia management in patients with CKD requires a tailored approach that considers altered lipid profiles, comorbid conditions, and potential safety concerns associated with pharmacological therapy. This review aimed to summarize key clinical trials evaluating lipid-lowering strategies in CKD and compare current international and regional clinical practice guidelines. We assessed cardiovascular outcomes associated with various lipid-lowering agents, including statins, ezetimibe, proprotein convertase subtilisin/kexin type 9 inhibitors, fibrates, and omega-3 fatty acids. In addition, we discuss optimal therapeutic strategies across distinct patient subgroups, including those not treated with dialysis or kidney transplantation, those on dialysis, and kidney transplant recipients.
Related Concept Videos
Chronic Kidney Disease III: Interprofessional Care
Chronic Kidney Disease IV: Nursing Management
Chronic Kidney Disease II: Clinical Manifestations
Chronic Kidney Disease I: Introduction
Atherosclerosis III: Management
Lipid-Lowering Drugs: Statins and Miscellaneous Agents

