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Clinical decision support for familial hypercholesterolemia (CDS-FH): Rationale and design of a cluster randomized trial in primary care

Clinical decision support for familial hypercholesterolemia (CDS-FH): Rationale and design of a cluster randomized trial in primary care

Source : https://www.sciencedirect.com/science/article/pii/S000287032200031X?via=ihub

Familial hypercholesterolemia (FH) is an underdiagnosed and undertreated genetic disorder with high risk of premature atherosclerotic cardiovascular disease and death. Clinical decision support (CDS) systems have the potential to aid...



Conclusion: Despite increasing awareness of FH, the condition remains underdiagnosed and undertreated. The present study will investigate whether a CDS can increase the number of patients being diagnosed with FH.

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Low density lipoprotein cholesterol levels exceed the recommended European threshold for PCSK9i initiation: lessons from the HEYMANS study - PubMed

Low density lipoprotein cholesterol levels exceed the recommended European threshold for PCSK9i initiation: lessons from the HEYMANS study - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/35175350/

Across Europe, LDL-C levels at evolocumab initiation were three times higher than recommended thresholds for PCSK9i initiation, reflecting disparities between implementation and guidelines. More patients attained risk-based LDL-C goals when...



Conclusions: Across Europe, LDL-C levels at evolocumab initiation were three times higher than recommended thresholds for PCSK9i initiation, reflecting disparities between implementation and guidelines. More patients attained risk-based LDL-C goals when receiving evolocumab in combination with LLT versus those not receiving combination...

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Effects of preconception lifestyle intervention in infertile women with obesity: The FIT-PLESE randomized controlled trial

Effects of preconception lifestyle intervention in infertile women with obesity: The FIT-PLESE randomized controlled trial

Source : https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1003883

Richard S. Legro, Karl R. Hansen, Michael P. Diamond, Anne Z. Steiner, Christos Coutifaris, Marcelle I. Cedars, Kathleen M. Hoeger, Rebecca Usadi, Erica B. Johnstone, Daniel J. Haisenleder Subject Areas...



Conclusions: A preconception intensive lifestyle intervention for weight loss did not improve fertility or birth outcomes compared to an exercise intervention without targeted weight loss. Improvement in metabolic health may not translate into improved female fecundity.

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  • 4yr
    Improvement in metabolic health Should be discussed with women
  • 4yr
    I see so many obese women with problems with fertility and often with weight loss and control of their obesity taking conceive
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PCSK9 promotes arterial medial calcification

PCSK9 promotes arterial medial calcification

Source : https://www.atherosclerosis-journal.com/article/S0021-9150(22)00029-6/fulltext

PCSK9 plasma levels are negatively associated with glomerular filtration rate, and atherosclerotic cardiovascular disease further increased PCSK9 plasma levels in a cohort of 594 subjects. * PCSK9 plasma levels are...



Conclusions: Our study reveals a direct role of PCSK9 on vascular calcification induced by higher inorganic phosphate levels associated with renal impairment. This effect appears to be mediated by a switch towards a pro-calcific phenotype of SMCs associated with the release of EVs containing Ca2 and ALP.

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  • 4yr
    PCSK9 plasma levels are negatively associated with glomerular filtration rate, and atherosclerotic cardiovascular disease- interesting read
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Sex-specific endothelial dysfunction induced by high-cholesterol diet in rats: The role of protein tyrosine kinase and nitric oxide - PubMed

Sex-specific endothelial dysfunction induced by high-cholesterol diet in rats: The role of protein tyrosine kinase and nitric oxide - PubMed

Source : https://pubmed.ncbi.nlm.nih.gov/35144857/

1 Health Clinical Science Research Center, Zahedan Branch, Islamic Azad University, Zahedan, Iran; Student Research Committee, Islamic Azad University, Zahedan Branch, Zahedan, Iran. 2 Imam Zaman Hospital, Mashad, Iran. 3...



Conclusion: HC diet alters endothelium function through Nitric oxide (NO) and tyrosine kinase pathways in male rats.

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  • 4yr
    Atherosclerosis is a chronic process playing a crucial role in the pathogenesis of cardiovascular disease