BARKAS, Fotios, Yusuf Ziya SENER, Pelin Arabacilar GOLFOROUSH, Azin KHEIRKHAH, Elena RODRIGUEZ-SANCHEZ, Jan NOVÁK, Maria APELLANIZ-RUIZ, Ralph Kwame AKYEA, Vanessa BIANCONI, Alexandr CEASOVSCHIH, Ying Jie CHEE, Mariia CHERSKA, Joana Rita CHORA, Mario ORIA, Nadiia DEMIKHOVA, Duygu Kocyigit BURUNKAYA, Antoine RIMBERT, Chiara MACCHI, Krishnaraj RATHOD, Lynn ROTH, Vasily SUKHORUKOV, Svetlana STOICA, Roberto SCICALI, Tatyana STOROZHENKO, Jamol UZOKOV, Maria Giovanna LUPO, Emiel P C VAN DER VORST and Florentina PORSCH. Advancements in risk stratification and management strategies in primary cardiovascular prevention. Atherosclerosis. Clare: ELSEVIER SCI IRELAND LTD, 2024, vol. 395, August 2024, p. 1-14. ISSN 0021-9150. Available from: https://dx.doi.org/10.1016/j.atherosclerosis.2024.117579.
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Basic information
Original name Advancements in risk stratification and management strategies in primary cardiovascular prevention
Authors BARKAS, Fotios, Yusuf Ziya SENER, Pelin Arabacilar GOLFOROUSH, Azin KHEIRKHAH, Elena RODRIGUEZ-SANCHEZ, Jan NOVÁK (203 Czech Republic, belonging to the institution), Maria APELLANIZ-RUIZ, Ralph Kwame AKYEA, Vanessa BIANCONI, Alexandr CEASOVSCHIH, Ying Jie CHEE, Mariia CHERSKA, Joana Rita CHORA, Mario ORIA, Nadiia DEMIKHOVA, Duygu Kocyigit BURUNKAYA, Antoine RIMBERT, Chiara MACCHI, Krishnaraj RATHOD, Lynn ROTH, Vasily SUKHORUKOV, Svetlana STOICA, Roberto SCICALI, Tatyana STOROZHENKO, Jamol UZOKOV, Maria Giovanna LUPO, Emiel P C VAN DER VORST and Florentina PORSCH.
Edition Atherosclerosis, Clare, ELSEVIER SCI IRELAND LTD, 2024, 0021-9150.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30201 Cardiac and Cardiovascular systems
Country of publisher Ireland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 5.300 in 2022
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1016/j.atherosclerosis.2024.117579
UT WoS 001250139600001
Keywords in English Cardiovascular disease; Atherosclerosis; Risk stratification; Plaque regression; Primary prevention
Tags 14110116, 14110515, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 12/7/2024 08:54.
Abstract
Atherosclerotic cardiovascular disease (ASCVD) remains a leading cause of morbidity and mortality worldwide, highlighting the urgent need for advancements in risk assessment and management strategies. Although significant progress has been made recently, identifying and managing apparently healthy individuals at a higher risk of developing atherosclerosis and those with subclinical atherosclerosis still poses significant challenges. Traditional risk assessment tools have limitations in accurately predicting future events and fail to encompass the complexity of the atherosclerosis trajectory. In this review, we describe novel approaches in biomarkers, genetics, advanced imaging techniques, and artificial intelligence that have emerged to address this gap. Moreover, polygenic risk scores and imaging modalities such as coronary artery calcium scoring, and coronary computed tomography angiography offer promising avenues for enhancing primary cardiovascular risk stratification and personalised intervention strategies. On the other hand, interventions aiming against atherosclerosis development or promoting plaque regression have gained attention in primary ASCVD prevention. Therefore, the potential role of drugs like statins, ezetimibe, proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors, omega -3 fatty acids, antihypertensive agents, as well as glucose -lowering and anti-inflammatory drugs are also discussed. Since findings regarding the efficacy of these interventions vary, further research is still required to elucidate their mechanisms of action, optimize treatment regimens, and determine their long-term effects on ASCVD outcomes. In conclusion, advancements in strategies addressing atherosclerosis prevention and plaque regression present promising avenues for enhancing primary ASCVD prevention through personalised approaches tailored to individual risk profiles. Nevertheless, ongoing research efforts are imperative to refine these strategies further and maximise their effectiveness in safeguarding cardiovascular health.
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