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Knowledge and Awareness of Familial Hypercholesterolaemia among Registered Medical Practitioners in Tamil Nadu: Are

Nandhini Rangarajan1, Shanthi Balasubramanian2, Jing Pang3

  • 1Honorary Research Fellow, School of Medicine and Pharmacology, University of Western Australia , Australia .

Journal of Clinical and Diagnostic Research : JCDR
|July 21, 2016
PubMed

Insights

Physicians in India show significant gaps in awareness and knowledge of Familial Hypercholesterolaemia (FH), a genetic disorder linked to early heart disease. Continuous medical education is crucial to improve diagnosis and management of FH patients.

Area of Science:

  • Cardiology
  • Genetics
  • Public Health

Background:

  • Familial Hypercholesterolaemia (FH) is a common genetic disorder leading to premature Coronary Artery Disease (CAD).
  • A significant number of individuals with FH remain undiagnosed and undertreated globally.
  • Improving awareness among healthcare professionals is vital for early detection and intervention.

Purpose of the Study:

  • To assess the awareness, knowledge, and practices of registered medical practitioners in India concerning Familial Hypercholesterolaemia.
  • To identify specific knowledge deficits regarding FH screening, diagnosis, and management among primary care physicians.

Main Methods:

  • A structured online survey questionnaire was administered to physicians in Tamil Nadu, India.
  • The survey focused on screening, diagnostic, and service aspects of FH.
  • 133 physicians participated in the study.

Main Results:

  • Only 27.9% of physicians felt familiar with FH, despite 71.4% correctly describing it.
  • A large proportion (41.4%) were unaware if they managed FH patients.
  • Awareness regarding heritability (35.3%), prevalence (31.6%), and cardiovascular disease (CVD) risks (13.5%) was notably low.
  • Physicians recognized the importance of General Practitioners (GPs) in FH detection (84.2%) and lipid profile interpretation (69.2%).
  • Statin monotherapy (91.7%) was correctly identified as a primary treatment, but combination therapy was less recognized.

Conclusions:

  • Substantial deficits in FH awareness and knowledge exist among primary care physicians in Tamil Nadu.
  • There is a critical need for extensive and continuous medical education programs.
  • These educational initiatives are essential to bridge the knowledge gap and improve coronary prevention strategies for FH.
Abstract

Keywords:
Coronary artery diseaseModels of carePhysicians

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