TY - JOUR
T1 - Clinical and genetic factors influencing cardiovascular risk in patients with familial hypercholesterolemia
AU - Oosterveer, Daniëlla M.
AU - Versmissen, Jorie
AU - Schinkel, Arend F.L.
AU - Langendonk, Janneke G.
AU - Mulder, Monique
AU - Sijbrands, Eric J.G.
PY - 2010/4
Y1 - 2010/4
N2 - Patients with familial hypercholesterolemia (FH) have high levels of LDL-C, owing to defective uptake of these particles by LDL receptors in the liver. Consequently, FH patients have a high risk of cardiovascular disease (CVD). However, among these patients, there is marked variance in age of onset of CVD and a proportion of untreated patients do not develop CVD at all. Statin treatment can greatly reduce risk, and since it is not yet possible to precisely predict which FH patients will develop CVD, all patients initiate treatment once the diagnosis has been made. The purpose of this article is to provide an update of clinical and genetic risk factors influencing CVD risk in FH patients, and to discuss future lines of research that could uncover improved methods of treatment for heterozygous FH patients.
AB - Patients with familial hypercholesterolemia (FH) have high levels of LDL-C, owing to defective uptake of these particles by LDL receptors in the liver. Consequently, FH patients have a high risk of cardiovascular disease (CVD). However, among these patients, there is marked variance in age of onset of CVD and a proportion of untreated patients do not develop CVD at all. Statin treatment can greatly reduce risk, and since it is not yet possible to precisely predict which FH patients will develop CVD, all patients initiate treatment once the diagnosis has been made. The purpose of this article is to provide an update of clinical and genetic risk factors influencing CVD risk in FH patients, and to discuss future lines of research that could uncover improved methods of treatment for heterozygous FH patients.
UR - http://www.scopus.com/inward/record.url?scp=77950217259&partnerID=8YFLogxK
U2 - 10.2217/clp.10.9
DO - 10.2217/clp.10.9
M3 - Review article
AN - SCOPUS:77950217259
VL - 5
SP - 189
EP - 197
JO - Future Lipidology
JF - Future Lipidology
SN - 1758-4299
IS - 2
ER -