2023
2023 Update on European Atherosclerosis Society Consensus Statement on Homozygous Familial Hypercholesterolaemia: new treatments and clinical guidance
CUCHEL, Marina; Frederick J RAAL; Robert A HEGELE; Khalid AL-RASADI; Marcello ARCA et al.Základní údaje
Originální název
2023 Update on European Atherosclerosis Society Consensus Statement on Homozygous Familial Hypercholesterolaemia: new treatments and clinical guidance
Autoři
CUCHEL, Marina; Frederick J RAAL; Robert A HEGELE; Khalid AL-RASADI; Marcello ARCA; Maurizio AVERNA; Eric BRUCKERT; Tomáš FREIBERGER ORCID; Daniel GAUDET; Mariko HARADA-SHIBA; Lisa C HUDGINS; Meral KAYIKCIOGLU; Luis MASANA; Klaus G PARHOFER; Jeanine E ROETERS VAN LENNEP; Raul D SANTOS; Erik S G STROES; Gerald F WATTS; Albert WIEGMAN; Jane K STOCK; Lale S TOKGOEZOGLU; Alberico L CATAPANO a Kausik K RAY
Vydání
European heart journal, Oxford, Oxford University Press, 2023, 0195-668X
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30201 Cardiac and Cardiovascular systems
Stát vydavatele
Velká Británie a Severní Irsko
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 38.100
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/23:00131700
Organizační jednotka
Lékařská fakulta
UT WoS
EID Scopus
Klíčová slova anglicky
Homozygous familial hypercholesterolaemia; Clinical guidance; Diagnosis; Genetics; Treatment; Women
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 15. 9. 2023 07:56, Mgr. Tereza Miškechová
Anotace
V originále
This 2023 statement updates clinical guidance for homozygous familial hypercholesterolaemia (HoFH), explains the genetic complexity, and provides pragmatic recommendations to address inequities in HoFH care worldwide. Key strengths include updated criteria for the clinical diagnosis of HoFH and the recommendation to prioritize phenotypic features over genotype. Thus, a low-density lipoprotein cholesterol (LDL-C) >10 mmol/L (>400 mg/dL) is suggestive of HoFH and warrants further evaluation. The statement also provides state-of-the art discussion and guidance to clinicians for interpreting the results of genetic testing and for family planning and pregnancy. Therapeutic decisions are based on the LDL-C level. Combination LDL-C-lowering therapy-both pharmacologic intervention and lipoprotein apheresis (LA)-is foundational. Addition of novel, efficacious therapies (i.e. inhibitors of proprotein convertase subtilisin/kexin type 9, followed by evinacumab and/or lomitapide) offers potential to attain LDL-C goal or reduce the need for LA. To improve HoFH care around the world, the statement recommends the creation of national screening programmes, education to improve awareness, and management guidelines that account for the local realities of care, including access to specialist centres, treatments, and cost. This updated statement provides guidance that is crucial to early diagnosis, better care, and improved cardiovascular health for patients with HoFH worldwide.
Návaznosti
| LX22NPO5104, projekt VaV |
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