Identification and management of familial hypercholesterolaemia
DeMott, K., Nherera, L., Humphries, S. E., Minhas, R., Shaw, E. J., Kathoria, M., Ritchie, G., Davies, D., Lee, P., McDowell, I., Neil, A., Qureshi, N., Rowlands, P., Seed, M., Stracey, H., Thorogood, Margaret and Watson, M. (2008) Identification and management of familial hypercholesterolaemia. London: National Institute for Health and Clinical Excellence (NICE). (NICE clinical guideline).Full text not available from this repository.
Official URL: http://www.nice.org.uk/nicemedia/pdf/CG071NICEGuid...
In some people, a high cholesterol concentration in the blood is caused by an inherited genetic defect known as familial hypercholesterolaemia (FH). A raised cholesterol concentration in the blood is present from birth and may
lead to early development of atherosclerosis and coronary heart disease. The disease shows an autosomal dominant pattern of inheritance, being transmitted from generation to generation in such a way that siblings and
children of a person with FH have a 50% risk of inheriting FH. Most people with FH have inherited a defective gene for FH from only one parent and are therefore heterozygous. Rarely, a person will inherit a genetic
defect from both parents and will have homozygous FH or compound heterozygous FH, which will be collectively termed homozygous FH for the purpose of this guideline.
The prevalence of heterozygous FH in the UK population is estimated to be 1 in 500, which means that approximately 110,000 people are affected. The elevated serum cholesterol concentration that characterises heterozygous FH leads to a greater than 50% risk of coronary heart disease in men by the age of 50 years and at least 30% in women by the age of 60 years.
Homozygous FH is rare, with symptoms appearing in childhood, and is associated with early death from coronary heart disease. Homozygous FH has an incidence of approximately one case per one million. The guideline will assume that prescribers will use a drug’s summary of
product characteristics to inform their decisions for individual patients.
|Subjects:||R Medicine > R Medicine (General)|
|Divisions:||Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School
|Series Name:||NICE clinical guideline|
|Publisher:||National Institute for Health and Clinical Excellence (NICE)|
|Place of Publication:||London|
|Official Date:||August 2008|
|Number of Pages:||45|
|Status:||Not Peer Reviewed|
NICE clinical guideline 71
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