TY - JOUR
T1 - Integrated guidance on the care of familial hypercholesterolemia from the International FH Foundation
AU - Watts, Gerald
AU - Gidding, S.S.
AU - Wierzbicki, A.S.
AU - Tóth, P.P.
AU - Alonso, R.M.
AU - Brown, W.V.
AU - Bruckert, E.
AU - Defesche, J.C.
AU - Lin, K.
AU - Livingston, M.C.P.
AU - Mata, P.
AU - Parhofer, K.G.
AU - Raal, F.J.
AU - Santos, R.D.
AU - Sijbrands, E.J.
AU - Simpson, W.G.
AU - Sullivan, D.R.
AU - Susekov, A.V.
AU - Tomlinson, B.T.
AU - Wiegman, A.
AU - Yamashita, S.
AU - Kastelein, J.J.P.
PY - 2014
Y1 - 2014
N2 - Familial hypercholesterolemia (FH) is a dominantly inherited disorder present from birth that markedly elevates plasma low-density lipoprotein cholesterol and causes premature coronary heart disease. There are at least 20 million people with FH worldwide, but the majority remains undetected, and current treatment is often suboptimal. To address this major gap in coronary prevention we present, from an international perspective, consensus-based guidance on the care of FH. The guidance was generated from seminars and workshops held at an international symposium. The recommendations focus on the detection, diagnosis, assessment, and management of FH in adults and children and set guidelines for clinical purposes. They also refer to best practice for cascade screening and risk notifying and testing families for FH, including use of genetic testing. Guidance on treatment is based on risk stratification, management of noncholesterol risk factors, and the safe and effective use of low-density lipoprotein-lowering therapies. Recommendations are given on lipoprotein apheresis. The use of emerging therapies for FH is also foreshadowed. This international guidance acknowledges evidence gaps but aims to make the best use of contemporary practice and technology to achieve the best outcomes for the care of FH. It should accordingly be used to inform clinical judgment and be adjusted for country-specific and local healthcare needs and resources. © 2014 National Lipid Association.
AB - Familial hypercholesterolemia (FH) is a dominantly inherited disorder present from birth that markedly elevates plasma low-density lipoprotein cholesterol and causes premature coronary heart disease. There are at least 20 million people with FH worldwide, but the majority remains undetected, and current treatment is often suboptimal. To address this major gap in coronary prevention we present, from an international perspective, consensus-based guidance on the care of FH. The guidance was generated from seminars and workshops held at an international symposium. The recommendations focus on the detection, diagnosis, assessment, and management of FH in adults and children and set guidelines for clinical purposes. They also refer to best practice for cascade screening and risk notifying and testing families for FH, including use of genetic testing. Guidance on treatment is based on risk stratification, management of noncholesterol risk factors, and the safe and effective use of low-density lipoprotein-lowering therapies. Recommendations are given on lipoprotein apheresis. The use of emerging therapies for FH is also foreshadowed. This international guidance acknowledges evidence gaps but aims to make the best use of contemporary practice and technology to achieve the best outcomes for the care of FH. It should accordingly be used to inform clinical judgment and be adjusted for country-specific and local healthcare needs and resources. © 2014 National Lipid Association.
U2 - 10.1016/j.jacl.2014.01.002
DO - 10.1016/j.jacl.2014.01.002
M3 - Review article
SN - 1933-2874
VL - 8
SP - 148
EP - 172
JO - Journal of Clinical Lipidology
JF - Journal of Clinical Lipidology
IS - 2
ER -