AHA Reviews Impact of Aggressive LDL Lowering on the Brain

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AHA Reviews Impact of Aggressive LDL Lowering on the Brain
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The preponderance of evidence does not support the conclusion that aggressive cholesterol-lowering is associated with cognitive impairment or hemorrhagic stroke, a new statement concludes.

"The brain is the body's most cholesterol-rich organ, and some have questioned whether aggressive LDL-C lowering induces abnormal structural and functional changes," the writing group, led by Larry Goldstein, MD, chair, Department of Neurology, University of Kentucky, Lexington, points out.

The eight-member writing group used literature reviews, references to published clinical and epidemiology studies, clinical and public health guidelines, authoritative statements, and expert opinion to summarize the latest evidence and identify gaps in current knowledge.First, the available data"consistently" show that LDL-C lowering reduces the risk of atherosclerotic cardiovascular disease-related events in high-risk groups.

Third, the risk for hemorrhagic stroke associated with statin therapy in patients without a history of cerebrovascular disease is"small and consistently nonsignificant." They found no evidence that PCSK9 inhibitors or increases bleeding risk. Further, there is"no indication" that patients or populations with lifelong low LDL-C have enhanced vulnerability to hemorrhagic stroke, and there is"little evidence" that achieving very low levels of LDL-C increases that risk.

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