Familial hypercholesterolaemia is an autosomal-dominant disorder associated with mutations in the LDL receptor gene resulting in markedly elevated plasma low-density lipoprotein cholesterol levels. FH is significantly underrecognised with as many as 1 in 300 having the heterozygous form and 1 in 1 million having the homozygous form of the disease. Early diagnosis and treatment of FH is paramount to reduce the risk of premature atherosclerotic cardiovascular disease and death. The goal of treatment is to reduce LDL-C by 50 % from baseline levels with lifestyle modification, pharmacologic lipid-lowering therapy, LDL apheresis and in rare cases, liver transplantation. Pharmacologic treatment ranges from statin medications to newer agents such as lomitapide, mipomersin and PCSK9 inhibitors. Combination therapy is frequently required to achieve goal lipoprotein level reductions and prevent complications.
Cameron T Lambert - Organization: Department of Medicine, Emory University School of Medicine, Atlanta, GA, US
Pratik Sandesara - Organization: Department of Medicine, Emory University School of Medicine, Atlanta, GA, US
Ijeoma Isiadinso - Organization: Department of Medicine, Emory University School of Medicine, Atlanta, GA, US
Maria Carolina Gongora - Organization: Department of Medicine, Emory University School of Medicine, Atlanta, GA, US
Danny Eapen - Organization : Department of Medicine, Emory University School of Medicine, Atlanta, GA, US
Neal Bhatia - Organization : Department of Medicine, Emory University School of Medicine, Atlanta, GA, US
Jefferson T Baer - Organization : Department of Medicine, Emory University School of Medicine, Atlanta, GA, US
Laurence Sperling - Organization : Emory University School of Medicine, Heart Disease Prevention Center, Atlanta, US
