Detection of familial hypercholesterolaemia: A major treatment gap in preventative cardiology

被引:36
作者
Bates, Timothy R. [1 ,2 ]
Burnett, John R. [1 ,2 ,3 ,4 ]
van Bockxmeer, Frank M. [4 ,5 ]
Hamilton, Sandra [1 ,2 ,6 ]
Arnolda, Leonard [6 ,7 ]
Watts, Gerald F. [1 ,2 ,6 ]
机构
[1] Royal Perth Hosp, Lipid Disorders Clin, Perth, WA 6847, Australia
[2] Royal Perth Hosp, Dept Internal Med, Perth, WA 6847, Australia
[3] Royal Perth Hosp, Dept Core Clin Pathol & Biochem, Path W Lab Med WA, Perth, WA 6847, Australia
[4] Univ Western Australia, Sch Surg & Pathol, Perth, WA 6000, Australia
[5] Royal Perth Hosp, Path W Lab Med WA, Div Lab Med, Cardiovasc Genet Lab, Perth, WA 6847, Australia
[6] Univ Western Australia, Sch Med & Pharmacol, Perth, WA 6000, Australia
[7] Royal Perth Hosp, Dept Cardiol, Perth, WA 6847, Australia
关键词
familial hypercholesterolaemia; premature coronary artery disease; underdetection;
D O I
10.1016/j.hlc.2007.06.005
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Familial hypercholesterolaemia (FH) is a common genetic disorder that untreated has an almost one hundredfold risk of coronary artery disease (CAD). In an audit of 334 patients with premature CAD admitted to a Department of Cardiology, only 60% of medical records had sufficient clinical information for identifying FH. Of those with sufficient information recorded, 54% of patients had possible to definite FH on recognised clinical criteria. Amongst those with FH, only 38%, were on statin therapy and only 22% were treated to National Heart Foundation targets. Detection and treatment of FH represents a major gap in coronary prevention.
引用
收藏
页码:411 / 413
页数:3
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