德国脂蛋白阿费雷西斯注册-第十一期年度报告摘要
V J J Schettler1, N Selke2, S Jenke2
1Center of Nephrology Göttingen GbR, Göttingen, Germany.
Atherosclerosis
|September 29, 2024
概括
在患有高LDL-C和Lp (a) 水平的患者中,脂蛋白非瑞斯 (LA) 显著降低了心血管事件. 这11年的注册数据表明LA是安全和有效的,建立德国脂蛋白阿菲雷西斯注册 (GLAR) 作为世界上最大的.
科学领域:
- 心脏病学 心脏病学
- 代谢疾病 代谢疾病
- 临床研究 临床研究
背景情况:
- 德国脂蛋白阿菲雷斯注册表 (GLAR) 成立于2012年,收集关于脂蛋白阿菲雷斯 (LA) 的现实数据.
- 患者接受了最大限度的降脂疗法,包括他类药物,ezetimibe,bempedoic acid和PCSK9抑制剂或抗感觉疗法.
研究的目的:
- 为了评估长期有效性和安全性,脂蛋白疏松症 (LA) 在患有渐进性动脉样硬化心血管疾病 (ASCVD) 的患者.
- 分析11年期间接受LA治疗的患者中主要不良心血管事件 (MACE) 和不良事件的发生率.
主要方法:
- 分析了来自92个德国非中心的1,125名患者 (2012-2022) 的回顾性和前性观察数据.
- 数据包括超过61,500次LA治疗,重点关注LDL-C和Lp (a) 降低率和LA治疗前和期间的MACE发病率.
- 患者根据升高的LDL-C和/或Lp (a) 水平进行了分层.
主要成果:
- 在2022年,脂蛋白疏散 (LA) 实现了LDL-C (68.8%) 和Lp(a) (72.9%) 的显著立即降低.
- 在LA治疗的前两年观察到MACE的73%降低,随后持续的低率.
- 患有升高Lp的患者显示,MACE的降低 (85%) 比LDL-C升高的患者 (53%) 高. 副作用的发生率很低 (约. 5%) 主要与穿孔部位问题有关.
结论:
- 定期的LA治疗在高LDL-C和/或Lp (a) 和渐进的ASCVD患者中显著降低心血管事件率,即使使用最大的降脂疗法.
- 脂蛋白非热症 (LA) 显示出良好的安全性,在11年内副作用的发生率较低.
- GLAR注册表,其广泛的患者数量和观察持续时间,代表了世界上最大的LA注册表,提供了有价值的现实世界的证据.
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