Transition of care from childhood/adolescence to adulthood in familial hypercholesterolemia

Ariana Maia1, Liliana Fonseca1, Isabel Palma1

  • 1Serviço de Endocrinologia, Centro Hospitalar Universitário de Santo António, Unidade Local de Saúde de Santo António, Porto, Portugal.

Insights

Familial hypercholesterolemia (FH) management requires early detection and genetic screening. This genetic disorder necessitates lifelong lipid-lowering therapy to prevent premature cardiovascular disease and improve patient outcomes.

Area of Science:

  • Cardiology
  • Genetics
  • Public Health

Background:

  • Familial hypercholesterolemia (FH) is a prevalent genetic disorder causing high LDL-C levels.
  • Elevated LDL-C from childhood significantly increases premature atherosclerotic cardiovascular disease risk.

Purpose of the Study:

  • To outline strategies for improving early detection and genetic screening of FH.
  • To provide recommendations for holistic, long-term management of FH patients.
  • To emphasize seamless transition from pediatric to adult care for sustained adherence.

Main Methods:

  • Review of current literature and clinical guidelines on FH management.
  • Development of recommendations for screening programs and genetic testing.
  • Framework for integrated care pathways, including transition services.

Main Results:

  • Early identification and intervention are critical for mitigating cardiovascular risk in FH.
  • Genetic testing aids in accurate diagnosis and family screening.
  • Comprehensive management strategies improve quality of life and reduce mortality.

Conclusions:

  • Effective screening, genetic testing, and timely lipid-lowering therapy are essential for FH patients.
  • Continuity of care, especially during healthcare transitions, is vital for long-term treatment adherence and outcomes.

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