Genetic Testing in Familial Hypercholesterolemia: Is It for Everyone?

Author:

Medeiros A. M.,Bourbon M.

Abstract

Abstract Purpose of Review Lipid measurements and genetic testing are the main diagnostic tools for FH screening that are available in many countries. A lipid profile is widely accessible, and genetic testing, although available worldwide, in some countries is only performed in a research context. Still FH is diagnosed late, showing lack of early screening programs worldwide. Recent Findings Pediatric screening of FH was recently recognized by the European Commission Public Health Best Practice Portal as one on the best practices in non-communicable disease prevention. The early diagnosis of FH and the lowering of LDL-C values over lifespan can reduce the risk of coronary artery disease and offer health and socioeconomic gains. Summary Current knowledge about FH shows that early detection through appropriate screening needs to become a priority in healthcare systems worldwide. Governmental programs for FH identification should be implemented to unify the diagnosis and increase patient identification.

Funder

Instituto Nacional de Saúde Dr. Ricardo Jorge

Publisher

Springer Science and Business Media LLC

Subject

Cardiology and Cardiovascular Medicine

Reference46 articles.

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5. Vallejo-Vaz AJ, Stevens CAT, Lyons ARM, Dharmayat KI, Freiberger T, Hovingh GK, et al. Global perspective of familial hypercholesterolaemia: a cross-sectional study from the EAS Familial Hypercholesterolaemia Studies Collaboration (FHSC). Lancet. 2021;398(10312):1713–25. This work summarizes the results from the European Atherosclerosis Society Familial Hypercholesterolaemia Studies Collaboration (FHSC), a global registry of 42167 adults with clinical or genetic diagnosis of probable or definite heterozygous familial hypercholesterolaemia from 56 countries. The data reveals that earlier detection and greater use of combination therapies are required to reduce the global burden of FH.

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