Table 2. Study inclusion and exclusion criteria.
| Inclusion criteria | Exclusion criteria |
|---|---|
| 1. At least 18 years of age | 1. Previous use of any PCSK9i |
| 2. Very high-risk ASCVD | 2. Uncontrolled hypertension (SBP ≥180 mmHg; DBP ≥110 mmHg) or diabetes |
| 3. Have a qualifying LDL-C level at the time of screening based on the use of either no statin (LDL-C ≥3.4 mmol/L) or low or moderate intensity statin (LDL-C ≥1.8 mmol/L) | 3. Known allergy or contraindication to evolocumab or atorvastatin |
| 4. Successful PCI procedure | 4. Known history of hemorrhagic stroke |
| 5. OCT detected TCFA (TCFA is defined as FCT <65 mm and lipid radian greater than or equal to 2 quadrants) | 5. Undergoing cancer treatment |
| 6. Treated with lipoprotein monocollection of blood components | |
| 7. Severe liver and kidney dysfunction | |
| 8. Pregnant or lactating women | |
| 9. For any reason, the investigator considered patients who were not suitable for this study |
PCSK9i, proprotein convertase subtilisin/kexin type 9 inhibitor; ASCVD, atherosclerotic cardiovascular disease; SBP, systolic blood pressure; DBP, diastolic blood pressure; LDL-C, low-density lipoprotein cholesterol; PCI, percutaneous coronary intervention; OCT, optical coherence tomography; TCFA, thin-cap fibroatheroma; FCT, fibrous cap thickness.