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<article article-type="abstract" dtd-version="1.0" xml:lang="en" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">CC</journal-id>
<journal-id journal-id-type="nlm-ta">Cardiol Croat</journal-id>
<journal-title-group>
<journal-title>Cardiologia Croatica</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Cardiol. Croat.</abbrev-journal-title>
</journal-title-group>
<issn pub-type="ppub">1848-543X</issn>
<issn pub-type="epub">1848-5448</issn>
<publisher><publisher-name>Croatian Cardiac Society</publisher-name></publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">CC 2024 19_1-2_57</article-id>
<article-id pub-id-type="doi">10.15836/ccar2024.57</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Extended Abstract</subject></subj-group>
<subj-group subj-group-type="subheading"><subject>Miscellaneous</subject></subj-group>
</article-categories>
<title-group>
<article-title>New therapeutic options for lowering LDL cholesterol</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7557-9358</contrib-id><name><surname>Pejkovi&#x0107;</surname><given-names>Senka</given-names></name><xref ref-type="corresp" rid="cor1">*</xref></contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-9754-8712</contrib-id><name><surname>Jurkovi&#x0107; Dubrav&#x010D;i&#x0107;</surname><given-names>Nikolina</given-names></name></contrib>
<contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0991-7515</contrib-id><name><surname>Mixich</surname><given-names>Renee</given-names></name></contrib>
<aff id="aff1"><institution>Dubrava University Hospital</institution>, <addr-line>Zagreb</addr-line>, <country country="hr">Croatia</country></aff>
</contrib-group>
<author-notes>
<corresp id="cor1"><label>*</label>ADDRESS FOR CORRESPONDENCE: Senka Pejkovi&#x0107;, Klini&#x010D;ka bolnica Dubrava, Avenija Gojka &#x0160;u&#x0161;ka 6, HR-10000 Zagreb, Croatia. / Phone: +385-98-167-7599 / E-mail: <email xlink:href="senka.pejkovic@gmail.com">senka.pejkovic@gmail.com</email></corresp></author-notes>
<pub-date date-type="pub" publication-format="electronic"><month>10</month><year>2023</year></pub-date>
<pub-date date-type="pub" publication-format="print"><month>10</month><year>2023</year></pub-date>
<volume>19</volume>
<issue>1-2</issue>
<fpage>57</fpage>
<lpage>57</lpage>
<history>
<date date-type="received"><day>01</day><month>10</month><year>2023</year></date>
<date date-type="accepted"><day>07</day><month>10</month><year>2023</year></date>
</history>
<permissions>
<copyright-statement>Croatian Cardiac Society</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Croatian Cardiac Society</copyright-holder>
</permissions>
<kwd-group kwd-group-type="author"><title>KEYWORDS: </title><kwd>inclisiran</kwd><kwd>statins</kwd><kwd>management</kwd><kwd>nurse</kwd></kwd-group>
</article-meta>
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<body>
<p>Atherosclerotic cardiovascular disease is considered the leading cause of cardiovascular morbidity and mortality in the Western world. The treatment of hypercholesterolemia for primary and secondary prevention is primarily with statins, according to current European guidelines. Statins are effective in lowering high-blood cholesterol levels at the highest tolerated dose as first-line therapy. (<xref ref-type="bibr" rid="r1"><italic>1</italic></xref>) In the event that statins alone are not sufficient to adequately regulate blood lipids, ezetimibe is added as a second drug at a dose of 10 mg. In addition to statins, and ezetimibe, newer drugs are also used to lower LDL, namely alirocumab. (<xref ref-type="bibr" rid="r2"><italic>2</italic></xref>) When high-dose statins in combination with ezetimibe are not enough or statin treatment causes side effects, there is a new drug: inclisiran, a drug with a unique effect in lowering LDL cholesterol, administered twice a year. (<xref ref-type="bibr" rid="r3"><italic>3</italic></xref>) In Croatia, inclisiran was first used in May 2022 at Dubrava University Hospital. To date, twenty-two patients are receiving inclisiran therapy for the treatment of hypercholesterolemia. Patients eligible for inclisiran therapy are those with established cardiovascular disease who are already taking statin therapy or who are eligible for monotherapy because the statin was contraindicated. Inclisiran is an effective drug administered subcutaneously twice a year by a nurse. The nurse plays a very important role, both in the introduction of the drug, the application of the drug and in the further monitoring of the patient.</p>
</body>
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<ref-list>
<title>LITERATURE</title>
<ref id="r1"><label>1</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Skori&#x0107;</surname><given-names>B</given-names></name></person-group>. <article-title>What is New in the Most Recent Guidelines for the Management of Dyslipidemias of the European Society of Cardiology and the European Atherosclerosis Society?</article-title> <source>Cardiol Croat</source>. <year>2021</year>;<volume>16</volume>(<issue>1-2</issue>):<fpage>87</fpage>&#x2013;<lpage>95</lpage>. <pub-id pub-id-type="doi">10.15836/ccar2021.87</pub-id></mixed-citation></ref>
<ref id="r2"><label>2</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wright</surname><given-names>RS</given-names></name><name><surname>Ray</surname><given-names>KK</given-names></name><name><surname>Raal</surname><given-names>FJ</given-names></name><name><surname>Kallend</surname><given-names>DG</given-names></name><name><surname>Jaros</surname><given-names>M</given-names></name><etal/></person-group> <article-title>Pooled Patient-Level Analysis of Inclisiran Trials in Patients With Familial Hypercholesterolemia or Atherosclerosis.</article-title> <source>J Am Coll Cardiol</source>. <year>2021</year> March 9;<volume>77</volume>(<issue>9</issue>):<fpage>1182</fpage>&#x2013;<lpage>93</lpage>. <pub-id pub-id-type="doi">10.1016/j.jacc.2020.12.058</pub-id><pub-id pub-id-type="pmid">33663735</pub-id></mixed-citation></ref>
<ref id="r3"><label>3</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ray</surname><given-names>KK</given-names></name><name><surname>Landmesser</surname><given-names>U</given-names></name><name><surname>Leiter</surname><given-names>LA</given-names></name><name><surname>Kallend</surname><given-names>D</given-names></name><name><surname>Dufour</surname><given-names>R</given-names></name><etal/></person-group> <article-title>Inclisiran in Patients at High Cardiovascular Risk with Elevated LDL Cholesterol.</article-title> <source>N Engl J Med</source>. <year>2017</year>;<volume>376</volume>(<issue>15</issue>):<fpage>1430</fpage>&#x2013;<lpage>40</lpage>. <pub-id pub-id-type="doi">10.1056/NEJMoa1615758</pub-id><pub-id pub-id-type="pmid">28306389</pub-id></mixed-citation></ref>
</ref-list>
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