2020
DOI: 10.1177/1074248420907256
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The Legacy Effect in Treating Hypercholesterolemia

Abstract: Background: The duration of randomized controlled clinical trials usually is approximately 3 to 5 years although hypercholesterolemia and other risk factors for atherosclerotic cardiovascular disease (ASCVD) are lifelong conditions. Objectives: The legacy effect, defined as the persistence of benefit of pharmacologic interventions in clinical trials after the end of the randomized phase when all participants receive active therapy, is used to examine the long-term benefit. We summarize the evidence for the exi… Show more

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Cited by 6 publications
(2 citation statements)
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References 41 publications
(43 reference statements)
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“…Early and intensive lowering of hyperglycaemia has been associated with reduced complication development years after cessation of intensive glucose lowering (58). This "metabolic memory" has been similarly reported for early lowering of LDL-cholesterol levels (LDL-C) with statin treatment (187), and emphasises the importance of early lowering of glycaemic and LDLcholesterol levels. In view of poorer glycaemic and lipid profiles at diagnosis in YOD, it is important to explore whether subsequent glycaemic and lipid levels remain poor.…”
Section: 1supporting
confidence: 58%
“…Early and intensive lowering of hyperglycaemia has been associated with reduced complication development years after cessation of intensive glucose lowering (58). This "metabolic memory" has been similarly reported for early lowering of LDL-cholesterol levels (LDL-C) with statin treatment (187), and emphasises the importance of early lowering of glycaemic and LDLcholesterol levels. In view of poorer glycaemic and lipid profiles at diagnosis in YOD, it is important to explore whether subsequent glycaemic and lipid levels remain poor.…”
Section: 1supporting
confidence: 58%
“…Some patients need combination therapy with other drugs to control blood pressure better. ARBs can be combined with thiazide diuretics, amlodipine or calcium channel blockers (CCB), neprilysin inhibitors, or beta‐blockers [53,54] . Combination therapy has more benefits but also more costs and risks [55]…”
Section: Arbsmentioning
confidence: 99%