Statins are the most commonly
prescribed cholesterol-lowering drugs that help lower “bad” or low-density
lipoprotein (LDL) cholesterol in the blood.
Although they’re considered the
gold standard, research has found that between 7% and 29% of people who need to
lower their cholesterol can’t tolerate statins because of side effects such as
intense muscle pain.
But there’s good news for those
who can’t or won’t take statins. A new study of nearly 14,000 people followed
for nearly five years found that bempedoic acid
was well-tolerated and reduced bad cholesterol almost 22% when compared with a
placebo.
The risk of cardiovascular events
– including death, stroke, heart attack and coronary revascularization, a
procedure or surgery to improve blood flow to the heart – was 13% lower in the
bempedoic acid group than in the placebo group over a median of 3.4 years.
The drug was approved
specifically to treat statin-intolerant people in 2020. But the effects
on heart health had not been fully assessed until this trial. The new study was
funded in part by Esperion Therapeutics, which makes and markets bempedoic acid
under the name Nexletol.
The drug works in a similar way
to statins, by drawing cholesterol out of a waxy substance called plaque that
can build up in the walls of the arteries and interfere with blood flow to the
heart. If there is too much plaque buildup, it can lead to a heart attack or
stroke.
But unlike a statin, bempedoic
acid is activated in the liver, making it unlikely to cause muscle aches.
Heart disease is the No. 1 killer
of men and women in the world. One person dies every 34 seconds in the US from
cardiovascular disease, according to the CDC. About 697,000 people in the US
died from heart disease in 2020 alone – about the same number as the population
of Oklahoma City.
But we don’t have to let heart
disease take so many lives. A healthy lifestyle of eating well, not smoking and
getting exercise can help lower blood pressure, cholesterol and blood sugars.
If needed, a statin or bempedoic acid can aid as well.
We have the tools to prevent heart disease. Let’s focus on staying healthy and chasing life.
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