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Published on: September 15, 2018
Optimal management of familial hypercholesterolemia: treatment and management strategies
Mohammad Hassan Nemati1, Behrooz Astaneh
1Cardiac Surgery Department, Faghihi Hospital, Shiraz, Iran.
Insights
Familial hypercholesterolemia, an inherited condition causing high cholesterol, requires diverse treatments. This review explores optimal management strategies for this serious genetic disorder.
Area of Science:
- Genetics and Cardiovascular Medicine
Background:
- Familial hypercholesterolemia (FH) is an autosomal dominant genetic disorder.
- Caused by mutations in low-density lipoprotein receptor genes, leading to elevated LDL cholesterol.
- Results in premature coronary atherosclerosis and increased risk of cardiac death, especially in homozygous cases.
Purpose of the Study:
- To clinically review current treatment and management strategies for FH.
- To provide insights into the optimal management of familial hypercholesterolemia.
Main Methods:
- Clinical review of existing literature on FH treatment.
- Analysis of various therapeutic options including diet, pharmacologic therapy, apheresis, and transplantation.
Main Results:
- FH is characterized by significantly elevated total and LDL cholesterol levels.
- Treatment options vary in efficacy and invasiveness.
- Management strategies aim to mitigate the risk of premature cardiovascular events.
Conclusions:
- Optimal management of FH involves a multi-faceted approach tailored to individual patient needs.
- Early diagnosis and consistent treatment are crucial for improving outcomes.
- Further research may refine therapeutic strategies for FH.
Abstract:
Familial hypercholesterolemia is an autosomally dominant disorder caused by various mutations in low-density lipoprotein receptor genes. This will lead to elevated levels of total and low-density lipoprotein cholesterol, which may in turn lead to premature coronary atherosclerosis and cardiac-related death. The symptoms are more severe in the homozygous type of the disease. Different options for the treatment of affected patients are now available. Diet therapy, pharmacologic therapy, lipid apheresis, and liver transplantation are among the various treatments. We clinically review the treatment and management strategies for the disease in order to shed light on the optimal management of familial hypercholesterolemia.
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