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familial hypercholesterolemia: diagnosis

His research aims to identify the causes of cholesterol and triglyceride disorders and to develop new treatment options for patients who suffer from them. Familial hypercholesterolemia (FH) is a genetic disorder characterized by high levels of cholesterol. He is the retired chief executive officer, University of Pennsylvania Health System, where he served from 2003-2019. 1 FH is commonly diagnosed based on clinical criteria; however, there is genetic testing available. Familial Hypercholesterolemia (FH) is an autosomal dominant condition that leads to extreme elevations in low density lipoprotein cholesterol (LDL-C).1 It can remain undiagnosed until a catastrophic cardiovascular (CV) event. Mrs. Barbara Harrison, MS, CGC, graduated with a Bachelor’s degree in Biology from University of Maryland, College Park and received a Master’s degree in Genetic Counseling from University of Pittsburgh. Close, G. Deutsches Artzeblatt , published online 2014. This will reveal if you have the defective gene that causes the condition. Dr. McGowan is the Co-Director of the Lipid Clinic at Dartmouth Hitchcock Heart and Vascular Center. Objective: To summarize the pathophysiology, epidemiology, screening, diagnosis, and treatment of familial hypercholesterolemia (FH). She is currently an Assistant Professor at Howard University and teaches graduate students, medical students, and medical residents in various specialties, in the areas of genetics, genetic testing, genetic counseling and ethics. Chief Research Advisor and Scientific Advisory Board Member, Stanford University Medical Center Advising patients of familial hypercholesterolaemia diagnosis. Finally, as the Chief Research Advisor for a patient-led, non-profit (The FH Foundation, www.thefhfoundation.org), we are attempting to raise the profile of familial hypercholesterolemia (FH), an inherited disease that causes extremely elevated LDL cholesterol levels and risk of coronary disease. Co-Director. Dr. Ahmad has published a number of scholarly articles and delivered many invited lectures. Duquette serves on the Executive Steering Committee for the PCORI funded American BRCA Outcomes & Utilization of Testing Network (ABOUT) Network, Facing Our Risk of Cancer Empowered (FORCE) Advisory Board, Institute of Medicine (IOM) Ovarian Cancer Research Committee, and eXamining Relevance of Articles for Young Survivors (XRAYS) Steering Committee. All rights reserved. Family cascade screening may help identify patients at an earlier age, increasing the proportion of individuals with FH receiving timely and appropriate treatment. FH is a treatable disease. A commonly used screening strategy is known as cascade screening where LDL-C measurement, genetic testing, or both are done in consenting relatives of patients with FH. Director, Slovenian National Registry of Familial Hypercholesterolemia and Rare Dyslipidemias In 2019, Dr. Ahmad was named a Texas Monthly Super Doctor Rising Star. Rob has contributed to international clinical practice guidelines on FH and other genetic dyslipidemias, and also to guidelines for cholesterol, blood pressure and diabetes. © 2020 American College of Cardiology Foundation. Physical manifestations include xanthomas (Figure 2) which are pathognomonic for the disease, xanthelasmas (cholesterol deposits in the eye lids or skin), or corneal arcus (Figure 3).20 Of note, clinical criteria do not apply to HoFH; however the diagnosis is strongly suspected if the patient has very high LDL-C (>500 mg/dL untreated or >300 mg/dL if on maximal lipid-lowering therapy), and cholesterol deposits in the first decade of life in the setting of a strong family history.9, One of the most widely used clinical scoring systems to diagnose FH is the Dutch Lipid Network Criteria (DLNC).21 The DLNC yields a score based on clinical criteria including lipid levels, physical exam, and family history, as well as genetic data if available. Perelman School of Medicine Advancing optimum clinical care of FH through healthcare provider educational programs; Advocating for and shaping policies that impact the care of FH; and, Creating an international patient-facing Registry, accessible in multiple language. He has published >770 peer reviewed scientific papers. In the community, Mrs. Harrison volunteers with the Sickle Cell Association of the National Capital Area, and is an active member of Metropolitan Baptist Church in Largo, MD. Lipoprotein Apheresis should be considered for children with homozygous FH by the age of 5 and no later than age 8. He was, from 1985 to 2001, the President of the University of Chicago Hospitals. He holds the Wolfe Distinguished Medical Research Chair, the Edith Schulich Vinet Chair in Human Genetics and the Blackburn Chair in Cardiovascular Research. Altogether, he (co)authored over 100 publications; some of them appearing in journals as JACC, Molecular Genetics and Metabolism, Journal of Inherited Metabolic Disorders, OJRD and Clinical Biochemistry. He also serves as Chief of the Divisions of Human Genetics in the Departments of Medicine and Pediatrics. Duquette received her Masters of Science in Genetic Counseling from Northwestern University. The detection of the variants related to FH is important to improve the early diagnosis in probands / index-cases (ICs) and their relatives. FH is an autosomal dominant genetic condition, FH should be diagnosed in childhood and proactively treated. Associate Professor, Anesthesiology and Critical Care. Director of Cardiovascular Genomic Counseling. Much of my work focuses on discovery of genetic vari- ants underlying cardiovascular disease, particularly coronary disease and insulin resistance through large international studies. Professionally, she serves on the Diversity Task Force for the Accreditation Council of Genetic Counseling and is a member of the Prenatal Special Interest Group of the National Society of Genetic Counselors (NSGC).

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