Ľubomíra Fábryová
First-line therapy in secondary prevention and also in primary prevention are statins with wide range of evidence. The current standards for the prevention of cardio-cerebrovascular diseases emphasize the importance of achieving target levels for LDL--cholesterol. Despite everything statins in clinical practice can not meet all the goals. It is therefore no wonder that in the lipid-lowering agents still evolve new medication. The latest promise for high-risk patients (with high or very high cardiovascular risk, with homozygous or heterozygous familial hypercholesterolaemia, intolerant of statins or higher doses of statins) are human monoclonal antibodies against PCSK 9 (proprotein convertase subtilisin/kexin type 9). The results of clinical trials from large-scale programs are groundbreaking. Their importance is comparable to the results of 4S study with simvastatin, which was the first in 1994 demonstrated the benefit of statins in secondary prevention. Despite all this enthusiasm, however, we have to wait for the results of long-term cardiovascular endopoints studies (FOURIER, ODYSSEY-Outcomes and SPIRE), which should be available in late 2017 and early 2018 respectively.