Key result
Every hypertensive patient should receive a statin, and novel therapies like PCSK9 inhibitors or inclisiran should be utilized when optimal LDLc goals are not met.
A call to action emphasizing the urgent need for concurrent management of hypertension and dyslipidemia, including universal statin therapy for hypertensive patients, to combat the high burden of cardiovascular disease in Mexico.
Background: High blood pressure and dyslipidemia are risk factors that begin silently and share many pathophysiological mechanisms of tissue damage. Aim: Draw attention to this binomial (Hypertension and dyslipidemia) that is highly prevalent in Mexico and is mainly responsible for the leading atherothrombotic process as a cause of death in Mexico and the world. Methods: Reflective analysis of the evidence accumulated in the last 20 years. We launch key messages and support why every hypertensive patient should be treated with a statin. Results: We call for awareness to measure lipid levels and blood pressure twice a year from the age of 20 and to detect these devastating nosological entities as soon as possible. We remove the myth that PCSK9 inhibitors as well as the small interfering RNA of its synthesis are only for familial dyslipidemia. Measurement of serum Lp(a) should be routine, especially if you have a history of your own and family cardiovascular events. Conclusion: We should be aware of the little impact that health strategies have had to stop the main cause of death in Mexico. Every hypertensive patient should receive a statin, even if their serum LDLc levels are apparently normal. The great challenge of optimal control of the population with hypertension and/or dyslipidemia continues. The small interfering RNA synthesis PCSK9 should also be considered when conventional therapies are not sufficient and this situation is not infrequent.
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Álvarez‐López et al. (2024) conducted an editorial in Hypertension and Dyslipidemia. Lipid-lowering therapies (Statins, PCSK9 inhibitors, Inclisiran) was evaluated. Every hypertensive patient should receive a statin, and novel therapies like PCSK9 inhibitors or inclisiran should be utilized when optimal LDLc goals are not met.
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