EAPC Quiz: Familial Hypercholesterolemia

22 September 2020
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The case

A 44-year-old male presents at the hospital with an anterior STEMI. He has the following characteristics:

  • Current smoker
  • History of claudication (untreated)
  • His father died of a myocardial infarction at the age of 49
  • Several family members with coronary disease before the age of 55
  • Blood pressure: 128/75 mmHg
  • Normal weight
  • No tendon xanthomas or arcus
  • Normal glucose levels
  • LDL cholesterol 240 mg/dl (13.3 mmol/L)

References

ESC Scientific Document Group, 2019 ESC/EAS Guidelines for the management of dyslipidaemias:lipid modification to reduce cardiovascular risk: The Task Force for the management of dyslipidaemias of the European Society of Cardiology (ESC) and European Atherosclerosis Society (EAS). François Mach, Colin Baigent, Alberico L Catapano, Konstantinos C Koskinas, Manuela Casula, Lina Badimon, M John Chapman, Guy G De Backer, Victoria Delgado, Brian A Ference, Ian M Graham, Alison Halliday, Ulf Landmesser, Borislava Mihaylova, Terje R Pedersen, Gabriele Riccardi, Dimitrios J Richter, Marc S Sabatine, Marja-Riitta Taskinen, Lale Tokgozoglu, Olov Wiklund, ESC Scientific Document Group. European Heart Journal, volume 41, issue 1, 1 January 2020, pages 111–188, https://doi.org/10.1093/eurheartj/ehz455.

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Contributors

Professor Paul Dendale
Professor Paul Dendale

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