Evidence map›Paper›PMID 36006590›Full record

ReviewCurrent cardiology reports2022

Eradicating Atherosclerosis: Should We Start Statins at Younger Ages and at Lower LDL-Cs.

Thomas O'Toole, Michelle D Kelsey, Nishant P Shah, Robert W McGarrah, Neha J Pagidipati

Open access · greenAbstract readReview
In one paragraph

Review in Current cardiology reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Thomas O'TooleDepartment of Medicine, Duke University, Durham, NC, USA. thomas.otoole@duke.edu.ORCID 0000-0002-8487-448X
Michelle D KelseyDepartment of Medicine, Duke University, Durham, NC, USA.
Nishant P ShahDepartment of Medicine, Duke University, Durham, NC, USA.
Robert W McGarrahDepartment of Medicine, Duke University, Durham, NC, USA.
Neha J PagidipatiDepartment of Medicine, Duke University, Durham, NC, USA.
Duke University · US

Funding

Postdoctoral Training in Cardiovascular Clinical ResearchT32HL069749 · NHLBI · DUKE UNIVERSITY · PI MARK, DANIEL B · 2003 to 2023
$6.7M
NHLBI NIH HHS T32 HL069749
6 · The paper itself

Abstract

purpose of reviewGiven the increasing burden of cardiovascular disease, we review the literature for earlier initiation of statin therapy at younger ages and lower low-density lipoprotein cholesterol (LDL-C) levels, with the goal of preventing the development of atherosclerosis prior to clinical events. RECENT

findingsThere is a rising prevalence of dyslipidemia among younger adults. Although guidelines offer recommendations for adults over 40, there is little guidance for the management of younger adults with moderately elevated LDL-C levels. Earlier and more aggressive statin use may slow progression, or even halt atherosclerosis, and may likewise be beneficial and cost-effective on a population level. Further research is needed to define the exact age and LDL-C level at which to start statin therapy. Until then, more detailed risk stratification with lab testing and imaging should be used to identify younger adults at the highest risk.

Indexed as

AtherosclerosisCardiovascular DiseasesDyslipidemiasHydroxymethylglutaryl-CoA Reductase InhibitorsAdultCholesterol, LDLHumansCholesterol, LDLHydroxymethylglutaryl-CoA Reductase InhibitorsAtherosclerotic cardiovascular diseaseLow density lipoprotein cholesterolPrimary preventionPrimordial preventionStatin

Identifiers

PMID36006590
PMCPMC10021628
OpenAlexW4293103950

What OpenQuestion holds

Texttitle and abstract
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.