Lipids & metabolic liver disease

American Association of Clinical Endocrinology Clinical Practice Guideline on Pharmacologic Management of Adults With Dyslipidemia

Endocr PractPublished Clinical practice guideline

Methodological detailsGRADE framework, based on systematic reviews of RCTs or cohort studies
  • GRADE framework
  • Based on systematic reviews of RCTs or cohort studies

Recommendations

As issued by the authors

  1. good practice statement

    Assess the risk of atherosclerotic cardiovascular disease (ASCVD) events for primary prevention in adults with dyslipidemia

  2. suggested

    Alirocumab, evolocumab or bempedoic acid for adults with ASCVD or at increased ASCVD risk, in addition to standard care

  3. suggested against

    Alirocumab, evolocumab or bempedoic acid in adults without ASCVD

  4. insufficient evidence

    For or against the addition of inclisiran

  5. suggested

    Eicosapentaenoic acid (but not eicosapentaenoic acid plus docosahexaenoic acid) for adults with hypertriglyceridemia and ASCVD or increased ASCVD risk

  6. strongly recommended against

    Niacin for adults with hypertriglyceridemia and ASCVD or increased ASCVD risk

  7. insufficient evidence

    Pharmacologic management in adults with severe hypertriglyceridemia (≥500 mg/dL)

  8. suggested

    LDL-C treatment goal of <70 mg/dL in adults with dyslipidemia and ASCVD or at increased ASCVD risk

Original publication

American Association of Clinical Endocrinology Clinical Practice Guideline on Pharmacologic Management of Adults With Dyslipidemia. Endocr Pract. Published February 2025. doi:10.1016/j.eprac.2024.09.016

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