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Date of Award

Spring 2023

Degree Name

Master of Medical Science (Physician Assistant)

Department

Physician Assistant; College of Health Sciences

First Advisor

Timothy Besse

Abstract

Hyperlipidemia is one of the most significant and modifiable risk factors of coronary artery disease development and progression. Lipid lowering drugs have been shown to be important for secondary and primary prevention of cardiovascular disease, with statins being the current gold standard for lowering LDL levels due to its great LDL lowering capability, proven CV outcome benefit, and relatively low side effect profile. However, nearly half of individuals with high ASCVD risk are not on a high-intensity statin, with a high percentage of patients reporting stopping statins due to unwanted side effects like musculoskeletal symptoms. This comes with significant consequences to patient outcomes and demonstrates the need for providers to understand how statin alternative drugs can be used to help patients reach target lipid goals.

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Managing Hyperlipidemia in Statin-Intolerant Patients

Hyperlipidemia is one of the most significant and modifiable risk factors of coronary artery disease development and progression. Lipid lowering drugs have been shown to be important for secondary and primary prevention of cardiovascular disease, with statins being the current gold standard for lowering LDL levels due to its great LDL lowering capability, proven CV outcome benefit, and relatively low side effect profile. However, nearly half of individuals with high ASCVD risk are not on a high-intensity statin, with a high percentage of patients reporting stopping statins due to unwanted side effects like musculoskeletal symptoms. This comes with significant consequences to patient outcomes and demonstrates the need for providers to understand how statin alternative drugs can be used to help patients reach target lipid goals.