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REFLECTIONS
                                                                                                                   Dyslipidaemia
     Dyslipidaemia Global Newsletter #9 2025


     The addition of Lp(a) values to the PREVENT equations
     somewhat improved personalised risk assessment, particularly       CLINICAL PEARLS FROM THE FACULTY           Dyslipidaemia
     within specific subgroups like lower-risk individuals for CHD
     and borderline-risk individuals for ASCVD. However, this
     analysis demonstrated that while the novel PREVENT equations
     performed well for risk prediction in individuals with and without
     elevated Lp(a), Lp(a) levels remain independently associated
     with higher cardiovascular risk. Given that Lp(a) is currently
     tested at low rates but is an actionable risk enhancer, these
     findings suggest that more widespread Lp(a) testing may be
     beneficial for further personalising risk assessment and guiding
     more aggressive risk factor modification, even with the adoption
     of the new PREVENT equations.
                                                                           WATCH
                                                                           PROF. CRISTINA GAVINA DISCUSS
              CLICK HERE                                                   THE CLINICAL RELEVANCE OF THIS
              FOR THE LINK TO FULL ARTICLE                                 ARTICLE.



     Clinical staging to guide management of metabolic disorders and their sequelae: a

     European Atherosclerosis Society consensus statement.
     Romeo S, et al. Eur Heart J. 2025 May 7:ehaf314. doi: 10.1093/eurheartj/ehaf314. Online ahead of print.

     Global obesity rates among adults have surged between 1990 and 2022 and a lot of evidence suggests that excess adiposity results
     in several systemic abnormalities. It is being increasingly recognised that the various metabolic risk factors of these abnormalities
     are interconnected, but most efforts to address this topic have focused on the burden and implications, which haven’t translated into
     better patient care. The European Atherosclerosis Society (EAS) Consensus panel convened to propose a physiologically based
     clinical staging system based on diverse data for systemic metabolic disorders (SMDs) to facilitate improved awareness, tailored
     treatment approaches, and ultimately reduce the burden of obesity-related comorbidities.

                                    Graphical abstract





















                                                                                               A: prediabetes; B: overweight;
                                                                                               C: liver steatosis; D: hypertension;
                                                                                               E: dyslipidaemia; F: type 2
                                                                                               diabetes; G: asymptomatic
                                                                                               diastolic dysfunction; H: metabolic-
                                                                                               associated steatohepatitis;
                                                                                               I: chronic kidney disease; J:
                                                                                               subclinical atherosclerosis


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