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Published on: September 15, 2018
Management of inherited atherogenic dyslipidemias in children
Ornella Guardamagna1, Paola Cagliero, Francesca Abello
1Department of Paediatrics, University of Torino, Torino, Italy. ornella.guardamagna@unito.it
Insights
Early detection and management of inherited dyslipidemias in children are crucial for preventing cardiovascular disease. This review synthesizes current guidelines and highlights key aspects of screening and treatment for these genetic lipid disorders.
Area of Science:
- Pediatrics
- Cardiology
- Genetics
Background:
- Inherited dyslipidemias in childhood are an emerging concern for cardiovascular disease prevention.
- Recent guidelines from the American Academy of Pediatrics and National Institute for Health and Clinical Excellence emphasize early detection.
- Family history of genetic dyslipidemia or premature cardiovascular disease necessitates prompt evaluation.
Purpose of the Study:
- To review and synthesize the literature on screening programs for inherited dyslipidemias in children.
- To discuss the management strategies for atherogenic inherited dyslipidemias in pediatric populations.
- To identify key cornerstones and criticisms in current diagnostic and therapeutic approaches.
Main Methods:
- Literature synthesis and review of existing studies and guidelines.
- Analysis of biochemical and genetic markers for lipoprotein disorders.
- Evaluation of screening protocols and treatment outcomes.
Main Results:
- A spectrum of inherited dyslipidemias can be identified using specific markers.
- Early diagnosis is essential for initiating appropriate treatment and follow-up.
- Guidelines provide a framework for managing these conditions in children and adolescents.
Conclusions:
- Effective screening and management of childhood inherited dyslipidemias are vital for long-term cardiovascular health.
- Continued research and critical evaluation of current practices are needed.
- A comprehensive approach involving diagnosis, treatment, and follow-up is recommended.
Abstract:
In order to prevent cardiovascular disease, the treatment of inherited dyslipidemias in childhood represents an emerging topic capturing scientists' consideration. A body of findings emerged in the last decade for diagnosis and therapy, and results were recently summarized to introduce new guidelines by the American Academy of Pediatrics and National Institute for Health and Clinical Excellence. It is well known and generally shared the need to detect affected children precociously, when the family history address to genetic dyslipidemia and when familial premature cardiovascular disease occurs. A spectrum of disorders involving lipoproteins could be recognized by specific biochemical and genetic markers. A defined diagnosis represents the starting point to establish a correct treatment and follow-up program. This review represents a literature synthesis of the main cornerstones and criticisms concerning the screening program and management of atherogenic inherited dyslipidemias in children and adolescents.
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