Article
A Small Change Can Make a Big Difference: A Lesson from Evolocumab.
Heart, lung & circulation - 1 Mar 2019
Mirzaee Sam, Thein Paul M, Wong Dennis, Nasis Arthur
Abstract excerpt
BACKGROUND: Evolocumab is an expensive proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitor which has been shown to significantly improve cardiovascular outcomes in high risk patients. METHODS: This is a case study describing a stepwise approach to "PCSK9 inhibitor non-response" in a patient with familial hypercholesterolaemia. There are a few described pathophysiological mechanisms for "PCSK9...
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