Familial Hypercholesterolaemia in 2020: A Leading Tier 1 Genomic Application

Jing Pang1, David R Sullivan2, Tom Brett3

  • 1School of Medicine, Faculty of Health and Medical Sciences, University of Western Australia, Perth, WA, Australia.

Heart, Lung & Circulation
|January 25, 2020
PubMed

Insights

Familial hypercholesterolaemia (FH) significantly increases the risk of early heart disease due to high LDL cholesterol. Early detection and new treatments are vital for managing FH and preventing coronary artery disease.

Area of Science:

  • Cardiovascular Medicine
  • Genetics
  • Public Health

Background:

  • Familial hypercholesterolaemia (FH) is a genetic disorder causing high LDL cholesterol from birth.
  • Untreated FH leads to a substantial risk of premature coronary artery disease (CAD).
  • Early detection and intervention are critical for CAD prevention in FH patients.

Purpose of the Study:

  • To provide an overview of Familial hypercholesterolaemia.
  • To outline recent advances in FH care and management.
  • To discuss the prevention of CAD in families affected by FH.

Main Methods:

  • Review of recent publications on FH.
  • Analysis of data for developing models of care.
  • Consideration of new therapeutic strategies for FH.

Main Results:

  • Most individuals with FH do not achieve recommended LDL-cholesterol targets with current therapies.
  • FH affects approximately 1 in 250 individuals in the community.
  • New data supports the development of improved care strategies for FH.

Conclusions:

  • Comprehensive strategies are needed for screening, diagnosis, and treatment of FH.
  • Advances in FH care offer improved prevention of CAD.
  • Future FH care in Australia should align with the National Health Genomics Policy Framework.

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