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2024 ; 16
(7
): 397-401
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gab.com Text
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English Wikipedia
Proprotein convertase subtilisin/kexin type 9 inhibitors in peripheral artery
disease: A review of efficacy, safety, and outcomes
#MMPMID39086889
Mohyeldin M
; Abuelgasim AS
; Mustafa AM
World J Cardiol
2024[Jul]; 16
(7
): 397-401
PMID39086889
show ga
Peripheral artery disease (PAD) is a common condition characterized by
atherosclerosis in the peripheral arteries, associated with concomitant coronary
and cerebrovascular diseases. Proprotein convertase subtilisin/kexin type 9
(PCSK9) inhibitors are a class of drugs that have shown potential in
hypercholesterolemic patients. This review focuses on the efficacy, safety, and
clinical outcomes of PCSK9 inhibitors in PAD based on the literature indexed by
PubMed. Trials such as FOURIER and ODYSSEY demonstrate the efficacy of evolocumab
and alirocumab in reducing cardiovascular events, offering a potential treatment
option for PAD patients. Safety evaluations from trials show few adverse events,
most of which are injection-site reactions, indicating the overall safety profile
of PCSK9 inhibitors. Clinical outcomes show a reduction in cardiovascular events,
ischemic strokes, and major adverse limb events. However, despite these positive
findings, PCSK9 inhibitors are still underutilized in clinical practice, possibly
due to a lack of awareness among care providers and cost concerns. Further
research is needed to establish the long-term effects and cost-effectiveness of
PCSK9 inhibitors in PAD patients.