September 2020 PMID 32700572

The Expected 30-Year Benefits of Early Versus Delayed Primary Prevention of Cardiovascular Disease by Lipid Lowering.

Michael J Pencina, Karol M Pencina, Donald Lloyd-Jones, Alberico L Catapano, George Thanassoulis, Allan D Sniderman

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Mentions

55
Peak: 13 in Aug 2020
across 5 sources since Jul 2020

Extended reach

461,488
potential audience

Total likes

4,784

Video views

177,231

Mentions per month

Jul 2020 – Jan 2024

Where it's discussed

  • X / Twitter42 posts
  • Facebook5 posts
  • News4 articles
  • YouTube2 videos
  • Blogs2 articles

AI synopsis

What people are saying

The discussions collectively demonstrate high interest in early intervention strategies, supported by strong language like 'substantial reduction' and 'treatment earlier,' which underscores the perceived importance and potential impact of the research. Posts referencing modeling data and clinical implications show depth of engagement, while repeated emphasis on 'when' rather than 'if' to start treatment highlights the potential influence on future healthcare decisions.

AgreementModerate agreement

Most discussions emphasize the benefits of early lipid-lowering, with many supporting the idea that earlier intervention can substantially reduce future cardiovascular risks.

InterestHigh interest

The topic of when to begin preventive treatments sparks high interest, especially around specific ages and cholesterol levels, indicating engagement with practical implications.

EngagementModerate engagement

Posts reference modeling studies, clinical guidelines, and debates about treatment timing, reflecting thoughtful engagement with the article's content.

ImpactHigh impact

Several discussions highlight the potential for significant long-term health benefits, pointing to broad implications for clinical practices and guidelines.

Abstract in brief

  • Starting lipid-lowering treatment earlier in life (around ages 40-49) significantly reduces the risk of cardiovascular disease over the next 30 years compared to delaying treatment by 10 or 20 years.
  • The benefits of early intervention are greater for individuals with higher non-HDL cholesterol levels and older age within the 30-59 range.
  • Delaying treatment results in a residual risk that increases with the length of delay, emphasizing the importance of early prevention to maximize health benefits.

Top posts

Most liked on X and Bluesky
Circulation
@CircAHA · X

Reduction in 30 year atherosclerotic #CVD risk is achievable by intensive lipid-lowering in individuals in their 40s and 50s, with non-HDL cholesterol ≥160 mg/dL https://t.co/t9RM485Fn1 #AHAJournals https://t.co/M1J01VfQET

Aug 31, 2020 · 21 likes · 12 shares · 77,377 followers View post →
Thomas Dayspring
@Drlipid · X

@tola2252 @society_eas @drpablocorral @skathire Every case is different but with respect to apoB (or its surrogate lipid metrics) not only is "lower is better" but "earlier is better." Review these papers https://t.co/tfG5EEr1bO and https://t.co/8TguCuXc4F https://t.co/J3DEBZVI80

Nov 6, 2022 · 8 likes · 2 shares · 41,948 followers View post →
Circulation
@CircAHA · X

#CircOnTheRun episode with Corresponding Author, Dr. Allan Sniderman, and Associate Editor, @dranandrohatgi discussing early versus delayed prevention. Listen here: https://t.co/PcFGDZ2JOg Featured article: https://t.co/FlT5aSmRZd #AHAJournals https://t.co/cxaC1fi47W

Sep 5, 2020 · 7 likes · 5 shares · 77,377 followers View post →
Agingdoc
@agingdoc1 · X

The Expected 30-Year Benefits of Early Versus Delayed Primary Prevention of Cardiovascular Disease by Lipid Lowering

Nov 9, 2022 · 5 likes · 1 share · 41,432 followers View post →
fipco
@fipco · X

Should those in 40s or 50s w moderately hi lipids be treated despite low 10y PCE risk? Pencina et al ( @ThanassoulisMD Sniderman @dmljmd Catapano) modeling suggests “yes” based on long term benefit. Treating 20yr’s earlier potentially triples benefit. https://t.co/ZTgBZCSSW3 https://t.co/AmGfjN9zTs

Jul 25, 2020 · 4 likes · 1 share · 232 followers View post →
Teresa Gijon Conde
@TGijonConde · X

The Expected 30-year Benefits of Early Versus Delayed Primary Prevention of Cardiovascular Disease by Lipid Lowering | Circulation https://t.co/LzN32ja0xM

Aug 1, 2020 · 3 likes · 1 share · 1,056 followers View post →

All mentions

Dr. Luiz Silva
@DrLuizSilva1 · X

RT @BrezanSimonMD: https://t.co/EnKzzW66mM "Substantial ⬇️ in ASCVD risk in next 30 years is achievable by intensive lipid lowering in ind…

Jun 15, 2023 · 1 share · 390 followers View post →
Simon Brežan MD
@BrezanSimonMD · X

https://t.co/EnKzzW66mM "Substantial ⬇️ in ASCVD risk in next 30 years is achievable by intensive lipid lowering in indiv. in their 40s and 50s with non–HDL-C ≥160 mg/dL. For many, Q of when to start lipid lowering might be more relevant than whether to start lipid lowering."

Jun 14, 2023 · 1 like · 1 share · 783 followers View post →
John Gillespie
@DrGillespie_GP · X

@jonesmedcardiff @DrSelvarajah @drmckeown The later. The former question is an interesting one- I don't tknow what the answer is but I have seen in a interesting study that modelled the 30yr ARR in low risk individuals with early statin vs delayed by 10 or 20 yrs. https://t.co/ivdtVDjXjN

Jan 14, 2023 · 1 like · 1,058 followers View post →
Mesha
@cosmautic · X

RT @agingdoc1: The Expected 30-Year Benefits of Early Versus Delayed Primary Prevention of Cardiovascular Disease by Lipid Lowering

Nov 9, 2022 · 1 share · 455 followers View post →
Agingdoc
@agingdoc1 · X

The Expected 30-Year Benefits of Early Versus Delayed Primary Prevention of Cardiovascular Disease by Lipid Lowering

Nov 9, 2022 · 5 likes · 1 share · 41,432 followers View post →
Lic. Haydée Branda de Yambay
@byhaydee · X

RT @Drlipid: @tola2252 @society_eas @drpablocorral @skathire Every case is different but with respect to apoB (or its surrogate lipid metri…

Nov 6, 2022 · 2 shares · 62 followers View post →
JoAnne Foody, MD, FACC, FAHA
@FoodyMD · X

RT @Drlipid: @tola2252 @society_eas @drpablocorral @skathire Every case is different but with respect to apoB (or its surrogate lipid metri…

Nov 6, 2022 · 2 shares · 1,758 followers View post →
Thomas Dayspring
@Drlipid · X

@tola2252 @society_eas @drpablocorral @skathire Every case is different but with respect to apoB (or its surrogate lipid metrics) not only is "lower is better" but "earlier is better." Review these papers https://t.co/tfG5EEr1bO and https://t.co/8TguCuXc4F https://t.co/J3DEBZVI80

Nov 6, 2022 · 8 likes · 2 shares · 41,948 followers View post →
Josh Beckman
@JoshuaBeckmanMD · X

@djc795 @cpcannon @CMichaelGibson @ScottGrundy @DrMarthaGulati @hvanspall @SVRaoMD C’mon. They recommend a lot of stuff with no proved benefit. Example: screening for gonorrhea in women. Also, why a 5 year time window? Benefit accrues over time. https://t.co/c7hp0ve7Y6

Aug 23, 2022 · 1 like · 2,156 followers View post →
fipco
@fipco · X

@gcfmd @pnatarajanmd @MaxJordan_N @HeartDocSadiya @boback @kewatson @AnnMarieNavar @NMHheartdoc @HeartBobH @cpcannon I support broader statin use than current guidelines, however, I can imagine younger adult with low long term risk & optimal risk factors. Multi-decade benefit could be modest. https://t.co/E4Tnmuomyb Balanced discussion of unknowns of LT Rx on p9 here. https://t.co/G6ZWuMVMbL https://t.co/1aSFdFzBlQ

Jul 27, 2022 · 1 like · 232 followers View post →
John Gillespie
@DrGillespie_GP · X

@75snach @lowcarbGP https://t.co/ivdtVDjXjN

May 17, 2022 · 1,058 followers View post →
John Gillespie
@DrGillespie_GP · X

@lowcarbGP @rcgp One of the problems with using NNT from a relatively short RCTs is that longer treatment durations dramatically increase the absolute risk reduction. Plrase dont mislead patients to think the benefits of statins are not substantial. https://t.co/ivdtVDjXjN

May 15, 2022 · 1,058 followers View post →
John Gillespie
@DrGillespie_GP · X

@raphaels7 Why post such misinformation? Completely irresponsible. When the long term effects are modelled from those RR over a longer treatment durarion the absolute risk reductions are substantial. https://t.co/ivdtVDjXjN

May 15, 2022 · 1,058 followers View post →
usacardiologist
@usacardiologis1 · X

Maybe everyone should start on a lifelong statin drug therapy when they reach age 30? See:Pencina MJ, Pencina KM, et al. The expected 30-year benefits of early versus delayed primary prevention of cardiovascular disease by lipid lowering. Circulation. 2020;142:827–837.

Nov 29, 2020 · 1 like · 1 followers View post →
Vivek Garg
@vgargMD · X

RT @pnatarajanmd: I often observe statin deferral for younger adults with hypercholesterolemia. But if LDL-C persistently elevated despite…

Sep 23, 2020 · 2 shares · 3,679 followers View post →
Anum Saeed
@AnumSaeedMD · X

RT @pnatarajanmd: I often observe statin deferral for younger adults with hypercholesterolemia. But if LDL-C persistently elevated despite…

Sep 23, 2020 · 2 shares · 1,656 followers View post →
Shinya Goto
@sgoto4 · X

RT @CircAHA: #CircOnTheRun episode with Corresponding Author, Dr. Allan Sniderman, and Associate Editor, @dranandrohatgi discussing early v…

Sep 5, 2020 · 5 shares · 323 followers View post →
Joseph hill
@josephahill · X

RT @CircAHA: #CircOnTheRun episode with Corresponding Author, Dr. Allan Sniderman, and Associate Editor, @dranandrohatgi discussing early v…

Sep 5, 2020 · 5 shares · 2,420 followers View post →
Circulation
@CircAHA · X

#CircOnTheRun episode with Corresponding Author, Dr. Allan Sniderman, and Associate Editor, @dranandrohatgi discussing early versus delayed prevention. Listen here: https://t.co/PcFGDZ2JOg Featured article: https://t.co/FlT5aSmRZd #AHAJournals https://t.co/cxaC1fi47W

Sep 5, 2020 · 7 likes · 5 shares · 77,377 followers View post →
Manuel Martínez Pedreiro
@lolomeiras · X

RT @mbotana: ¿Quién se beneficia de tomar una estatina?¿Y a partir de qué momento? Interesante editorial https://t.co/l1BmsJBX65 a propósi…

Sep 1, 2020 · 4 shares · 95 followers View post →
Rafael Radaeli
@rfradaeli · X

RT @mbotana: ¿Quién se beneficia de tomar una estatina?¿Y a partir de qué momento? Interesante editorial https://t.co/l1BmsJBX65 a propósi…

Sep 1, 2020 · 4 shares · 382 followers View post →
IGOARANBA
@IGOARANBAR · X

RT @mbotana: ¿Quién se beneficia de tomar una estatina?¿Y a partir de qué momento? Interesante editorial https://t.co/l1BmsJBX65 a propósi…

Sep 1, 2020 · 4 shares · 1,762 followers View post →
Manuel Botana
@mbotana · X

¿Quién se beneficia de tomar una estatina?¿Y a partir de qué momento? Interesante editorial https://t.co/l1BmsJBX65 a propósito de este, a su vez, interesante trabajo - https://t.co/sUHDXuUCcX en el que se plantea que ...

Sep 1, 2020 · 2 likes · 4 shares · 3,719 followers View post →
Tom Kaier
@tomkaier · X

For many, the question of when to start lipid-lowering might be more relevant than whether to start lipid-lowering: https://t.co/qSyfwAuzb8

Sep 1, 2020 · 1,782 followers View post →
Dr Jean Pierre Laroche #vacciné 6.0
@Echoraljpangio · X

The Expected 30-Year Benefits of Early Versus Delayed Primary Prevention of Cardiovascular Disease by Lipid Lowering | Circulation https://t.co/CX3Wt0bM4P

Sep 1, 2020 · 2,712 followers View post →
Joseph hill
@josephahill · X

RT @CircAHA: Reduction in 30 year atherosclerotic #CVD risk is achievable by intensive lipid-lowering in individuals in their 40s and 50s,…

Aug 31, 2020 · 12 shares · 2,420 followers View post →
ANTON
@DRAMENHEART · X

RT @CircAHA: Reduction in 30 year atherosclerotic #CVD risk is achievable by intensive lipid-lowering in individuals in their 40s and 50s,…

Aug 31, 2020 · 12 shares · 255 followers View post →
Sean Fleming
@Dranelik · X

RT @CircAHA: Reduction in 30 year atherosclerotic #CVD risk is achievable by intensive lipid-lowering in individuals in their 40s and 50s,…

Aug 31, 2020 · 12 shares · 430 followers View post →
Claire Holden
@claire_holden_7 · X

RT @CircAHA: Reduction in 30 year atherosclerotic #CVD risk is achievable by intensive lipid-lowering in individuals in their 40s and 50s,…

Aug 31, 2020 · 12 shares · 59 followers View post →
Antonio Hernandez Mijares
@AntmijAntonio · X

The Expected 30-Year Benefits of Early Versus Delayed Primary Prevention of Cardiovascular Disease by Lipid Lowering | Circulation https://t.co/4qJhgyZWCu

Aug 31, 2020 · 318 followers View post →
Matteo Becatti
@becattimatteo · X

RT @CircAHA: Reduction in 30 year atherosclerotic #CVD risk is achievable by intensive lipid-lowering in individuals in their 40s and 50s,…

Aug 31, 2020 · 12 shares · 301 followers View post →
Circulation
@CircAHA · X

Reduction in 30 year atherosclerotic #CVD risk is achievable by intensive lipid-lowering in individuals in their 40s and 50s, with non-HDL cholesterol ≥160 mg/dL https://t.co/t9RM485Fn1 #AHAJournals https://t.co/M1J01VfQET

Aug 31, 2020 · 21 likes · 12 shares · 77,377 followers View post →
MedicureClinic
@MedicureClinic · X

The Expected 30-year Benefits of Early Versus Delayed Primary Prevention of Cardiovascular Disease by Lipid Lowering | Circulation // Pencina et al @ThanassoulisMD @dmljmd #HeartHealth https://t.co/t2eQkJKECY

Aug 5, 2020 · 1 like · 143 followers View post →
Alfonso Blazquez
@blazquez_l · X

RT @jvillacastin: REDUCTION in atherosclerotic CV disease risk in the next 30 years is achievable by intensive lipid-lowering in individual…

Aug 2, 2020 · 3 shares · 195 followers View post →
Mamen Lorenzo
@MamenLorenzo · X

RT @jvillacastin: REDUCTION in atherosclerotic CV disease risk in the next 30 years is achievable by intensive lipid-lowering in individual…

Aug 2, 2020 · 3 shares · 134 followers View post →
SEH-LELHA
@SEHLELHA140_90 · X

RT @TGijonConde: The Expected 30-year Benefits of Early Versus Delayed Primary Prevention of Cardiovascular Disease by Lipid Lowering | Cir…

Aug 1, 2020 · 1 share · 5,828 followers View post →
Teresa Gijon Conde
@TGijonConde · X

The Expected 30-year Benefits of Early Versus Delayed Primary Prevention of Cardiovascular Disease by Lipid Lowering | Circulation https://t.co/LzN32ja0xM

Aug 1, 2020 · 3 likes · 1 share · 1,056 followers View post →
Álvaro González-Cantero
@Alvaro_Gonza · X

RT @jvillacastin: REDUCTION in atherosclerotic CV disease risk in the next 30 years is achievable by intensive lipid-lowering in individual…

Aug 1, 2020 · 3 shares · 1,789 followers View post →
Dr Gomez Doblas
@DrDoblas · X

The Expected 30-year Benefits of Early Versus Delayed Primary Prevention of Cardiovascular Disease by Lipid Lowering | Circulation https://t.co/SIFsjbCUqf

Jul 28, 2020 · 2,992 followers View post →
George Thanassoulis
@ThanassoulisMD · X

RT @fipco: Should those in 40s or 50s w moderately hi lipids be treated despite low 10y PCE risk? Pencina et al ( @ThanassoulisMD Sniderman…

Jul 25, 2020 · 1 share · 732 followers View post →
fipco
@fipco · X

Should those in 40s or 50s w moderately hi lipids be treated despite low 10y PCE risk? Pencina et al ( @ThanassoulisMD Sniderman @dmljmd Catapano) modeling suggests “yes” based on long term benefit. Treating 20yr’s earlier potentially triples benefit. https://t.co/ZTgBZCSSW3 https://t.co/AmGfjN9zTs

Jul 25, 2020 · 4 likes · 1 share · 232 followers View post →
Georgeta Vaidean
@georgeta · X

Commonly used CVD Risk scores underpredict in some young grps.--> Tx initiation delay. This paper shows the 'cost' of such delay. Initiation of statins in 40-49 yo w/ non-HDL ≥160 mg/dL w'd reduce 30-year risk ~ARR 5-10% It's not IF, it's WHEN. https://t.co/3JOiE0mUtE https://t.co/LyhXfYaRI3

Jul 23, 2020 · 381 followers View post →