Evidence mapPaperPMID 41400788Full record

ReviewCurrent cardiology reports2025

Lipid-Lowering Therapies and Cognition in Older Adults: A Narrative Review and Clinical Considerations.

Raiza Rossi, Armin Nouri, Zafer Akman, Shefa Arya Nezhad, Abdulla A Damluji, Michael G Nanna

Abstract readReview
In one paragraph

Review in Current cardiology reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Statin use and cognitive outcomes in older adults.American journal of preventive cardiology · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Raiza RossiDepartment of Medicine ,Section of Cardiovascular Medicine, Yale School of Medicine, 789 Howard Ave, Dana Building, New Haven, CT, 06519, USA.ORCID http://orcid.org/0000-0001-6898-2192
Armin NouriDepartment of Medicine ,Section of Cardiovascular Medicine, Yale School of Medicine, 789 Howard Ave, Dana Building, New Haven, CT, 06519, USA.ORCID http://orcid.org/0000-0001-6005-1414
Zafer AkmanDepartment of Medicine ,Section of Cardiovascular Medicine, Yale School of Medicine, 789 Howard Ave, Dana Building, New Haven, CT, 06519, USA.ORCID http://orcid.org/0000-0002-6317-4417
Shefa Arya NezhadDepartment of Medicine ,Section of Cardiovascular Medicine, Yale School of Medicine, 789 Howard Ave, Dana Building, New Haven, CT, 06519, USA.ORCID http://orcid.org/0000-0002-0935-1806
Abdulla A DamlujiCardiovascular Center on Aging, Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, OH, USA.ORCID http://orcid.org/0000-0002-8774-6416
Michael G NannaDepartment of Medicine ,Section of Cardiovascular Medicine, Yale School of Medicine, 789 Howard Ave, Dana Building, New Haven, CT, 06519, USA. michael.nanna@yale.edu.ORCID http://orcid.org/0000-0001-5745-1636

Funding

TREATMENT GOALS FOR PERSONS WITH MULTIFACTORIAL GERIATRIC HEALTH CONDITIONSP30AG021342 · YALE UNIVERSITY · 2002 to 2025
$8.0M
Estimating the treatment effect of cardiovascular medications to modify the risk for future cognitive decline in older adultsK76AG088428 · YALE UNIVERSITY · 2025 to 2025
$243k
NHLBI NIH HHS K23 HL153771NIA NIH HHS K76 AG088428NIA NIH HHS P30 AG021342
6 · The paper itself

Abstract

purpose of reviewThis review will evaluate current data on broadly used lipid lowering agents in relation to cognition in older adults and highlight key findings and research gaps to guide clinical practice and future guidelines. RECENT

findingsEvidence from observational studies and randomized controlled trials indicate no significant association between statin use and cognitive decline, with some data suggesting potential protective effects. While there is insufficient data on inclisaran’s effect on cognition, monoclonal antibodies PCSK9 inhibitors, ezetimibe and bempedoic acid appear neurocognitively safe. Current literature does not conclusively elucidate the association between lipid-lowering therapies and cognitive outcomes in older adults, though existing data, particularly for statins, largely suggest neutral or potentially protective effects. Clinicians should continue prescribing LLT to eligible patients, and future research should prioritize long-term studies that incorporate cognitive outcomes in a diverse group of older adults to guide individualized care.

Indexed as

CognitionCognition DisordersHydroxymethylglutaryl-CoA Reductase InhibitorsHypolipidemic AgentsAgedAgingEzetimibeHumansPCSK9 InhibitorsEzetimibeHydroxymethylglutaryl-CoA Reductase InhibitorsHypolipidemic AgentsPCSK9 InhibitorsAgingCognitionLipid-lowering therapyNeurocognitive outcomesOlder adultsStatins

Identifiers

PMID41400788
PMCPMC13036879

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.