Prevention & lipids

Impact of a Meds-to-Beds PCSK9i Initiation Program on Low-density Lipoprotein Cholesterol (LDL-C) in Patients Undergoing ASCVD Revascularization

JACC AdvPublished prospective cohort with direct-matched retrospective cohort

Authors' conclusion

Early initiation of guideline-recommended PCSK9i mAbs through a dedicated M2B program was associated with enhanced attainment of LDL-C goals in patients with established atherosclerotic cardiovascular disease undergoing revascularization.

Study context

Population
Patients undergoing coronary or peripheral artery revascularization, on maximally tolerated statin therapy, and with LDL-C ≥70 mg/dL
Participants
72 vs 136
Exposure
LDL-C goal attainment rates were compared with standard of care using a direct-matched retrospective cohort
  • PCSK9i mAb groupn = 72
  • Control groupn = 136
Outcome
Baseline median LDL-C
Follow-up
Baseline
Methodological detailsdedicated meds-to-beds (M2B) program, historical controls
  • Dedicated M2B program
  • Historical controls

Main finding

As reported in the abstract

P < 0.05

Observational data: associations, not effects.

Further findings

LDL-C goal achievement · 6 months · for both goals; greater in the PCSK9i mAb group

P < 0.001

LDL-C <70 mg/dL

LDL-C <55 mg/dL

Median percent reduction

OutcomePCSK9i mAb groupControl groupP value
Median percent reduction in LDL-CLarger in the PCSK9i mAb group66%25%P < 0.001

Prospective cohort characteristics

Median age
66 years
Women
38%
Hispanic
57%

Original publication

Impact of a Meds-to-Beds PCSK9i Initiation Program on LDL-C in Patients Undergoing ASCVD Revascularization. JACC Adv. Published 19 August 2025. doi:10.1016/j.jacadv.2025.102075

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.