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Published on: September 15, 2018
Familial heterozygous hypercholesterolemia: a case report
Vyacheslav М Zhdan1, Yevdokiia М Kitura1, Maryna Yu Babanina1
1Ukrainian Medical Stomatological Academy, Poltava, Ukraine.
Insights
Familial heterozygous hypercholesterolemia (FHH) is a common genetic disorder often underdiagnosed by general practitioners. Early diagnosis and aggressive lipid-lowering therapy are crucial for managing FHH and preventing cardiovascular disease.
Area of Science:
- Genetics
- Cardiology
- Endocrinology
Background:
- Familial hypercholesterolemia (FH) is an autosomal dominant genetic disorder.
- It results from defects in the apolipoprotein B/E receptor gene.
- FH predisposes patients to premature atherosclerosis and cardiovascular diseases, including coronary heart disease (CHD).
Observation:
- This article reviews diagnostic criteria and management strategies for hereditary lipid metabolism disorders.
- A case report of familial heterozygous hypercholesterolemia (FHH) is presented.
- Literature data on FH diagnosis and treatment were analyzed.
Findings:
- Familial heterozygous hypercholesterolemia (FHH) is a prevalent genetic disorder.
- FHH is frequently underdiagnosed due to lack of awareness among practitioners.
- Current diagnostic and management approaches are discussed.
Implications:
- Early diagnosis of FHH is critical for timely intervention.
- Aggressive hypolipidemic therapy is essential for patients with hereditary lipid disorders.
- Increased awareness among general practitioners can improve FHH patient outcomes.
Objective:
Іntroduction: Familial hypercholesterolemia (FH) is an autosomal dominant disorder, caused by the defect of the gene, encoding the structure and function of the receptor for the apoprotein B/E. Patients with FH are predisposed to premature development of atherosclerosis and clinically manifested forms of cardiovascular diseases, in particular coronary heart disease (CHD). The aim of our article is informing the general practitioners about the diagnosis and management of patients with familial heterozygous hypercholesterolemia.
Patients And Methods:
Materials and methods: The data of domestic and foreign literature were analyzed. The case report of familial heterozygous hypercholesterolemia (FHH) was present in this article. Diagnostic criteria, current approaches to the management of patients with hereditary disorders of lipid metabolism are considered.
Conclusion:
Conclusions: Familial heterozygous hypercholesterolemia is one of the most common genetic disorders, but this pathology is not well-known to practitioners and is often underdiagnosed. Early diagnosis and aggressive contemporary hypolipidemic therapy is crucial for patients with signs of hereditary lipid disorders.
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