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Hypertriglyceridemia: Is there a role for prophylactic apheresis? A case report
Ana Rita Francisco1, Inês Gonçalves1, Fátima Veiga1
1Cardiology Department, Santa Maria University Hospital, Centro Hospitalar de Lisboa Norte, CCUL, University of Lisbon, Portugal.
Jornal Brasileiro De Nefrologia
|October 14, 2016
Summary
This case study highlights plasma exchange as a crucial intervention for severe hypertriglyceridemia, effectively lowering triglyceride levels and preventing complications like acute pancreatitis.
Area of Science:
- Cardiology
- Metabolic Disorders
- Hematology
Background:
- Severe hypertriglyceridemia is a significant risk factor for cardiovascular disease and acute pancreatitis.
- Metabolic syndrome and hypertrophic cardiomyopathy can contribute to extremely elevated triglyceride levels.
Observation:
- A 64-year-old woman presented with a triglyceride level of 3260 mg/dL, alongside hypertrophic cardiomyopathy and metabolic syndrome.
- The patient underwent plasma exchange combined with medical management to rapidly reduce triglyceride levels.
Findings:
- Three sessions of plasmapheresis resulted in a marked reduction in both triglyceride and total cholesterol levels.
- This intervention aimed to prevent potential clinical complications associated with severe hypertriglyceridemia.
Implications:
- Plasma exchange demonstrates applicability as a primary prophylactic measure in cases of extremely high serum triglyceridemia.
- This technique may be vital in managing patients at risk of pancreatitis and cardiovascular events due to severe hypertriglyceridemia.
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