ESC/EAS Lipids

2019 ESC/EAS Guidelines for the management of dyslipidaemias (with 2025 Focused Update)

The 2019 ESC/EAS guideline set the "lower is better" LDL-cholesterol targets and risk-based intensity of lipid lowering; the 2025 Focused Update reinforced early combination therapy and the role of newer agents. The register's landmark statin, non-statin and residual-risk trials are grouped by mechanism below.

This guideline cites 9 of the 199 landmark trials in our Cardiology register.

Source
Mach F, Baigent C, et al. Eur Heart J. 2020;41(1):111–188. Focused Update: Eur Heart J. 2025;46(42):4359–4378. · European Heart Journal

Statins — intensity & outcomes3

  • 2008JUPITERCardiology · Lipids · StatinsJustification for the Use of Statins in Prevention: an Intervention Trial Evaluating Rosuvastatin
  • 2004PROVE-ITCardiology · Lipids · StatinsPravastatin or Atorvastatin Evaluation and Infection Therapy — Thrombolysis in Myocardial Infarction 22 (PROVE IT-TIMI 22)
  • 19944SCardiology · Lipids · StatinsScandinavian Simvastatin Survival Study

Non-statin LDL lowering (ezetimibe, PCSK9, bempedoic acid)4

  • 2023CLEAR OutcomesCardiology · Lipids · Non-statin LDLBempedoic Acid and Cardiovascular Outcomes in Statin-Intolerant Patients
  • 2018ODYSSEY OUTCOMESCardiology · Lipids · PCSK9 inhibitorEvaluation of Cardiovascular Outcomes After an Acute Coronary Syndrome During Treatment With Alirocumab
  • 2017FOURIERCardiology · Lipids · PCSK9iFurther Cardiovascular Outcomes Research with PCSK9 Inhibition
  • 2015IMPROVE-ITCardiology · Lipids · Non-statin LDLImproved Reduction of Outcomes: Vytorin Efficacy International Trial

Residual risk — triglycerides & inflammation2

  • 2019REDUCE-ITCardiology · Lipids · TriglyceridesReduction of Cardiovascular Events with Icosapent Ethyl
  • 2017CANTOSCardiology · Lipids · Anti-inflammatoryCanakinumab Anti-inflammatory Thrombosis Outcomes Study