Familial Hypercholesterolemia in the Elderly: An Analysis of Clinical Profile and Atherosclerotic Cardiovascular Disease Burden from the Hellas-FH Registry.

HELLAS-FH registry atherosclerotic cardiovascular disease dyslipidemia elderlies familial hypercholesterolemia older age

Journal

Biomedicines
ISSN: 2227-9059
Titre abrégé: Biomedicines
Pays: Switzerland
ID NLM: 101691304

Informations de publication

Date de publication:
19 Jan 2024
Historique:
received: 29 11 2023
revised: 23 12 2023
accepted: 10 01 2024
medline: 26 1 2024
pubmed: 26 1 2024
entrez: 26 1 2024
Statut: epublish

Résumé

Familial hypercholesterolemia (FH) carries a high risk of atherosclerotic cardiovascular disease (ASCVD). As the population ages, the age-related influence on clinical characteristics and outcomes becomes increasingly pertinent. This cross-sectional analysis from the HELLAS-FH registry aims to explore potential differences in clinical characteristics, treatment, ASCVD, and goal achievement between those younger and older than 65 years with FH. A total of 2273 adults with heterozygous FH (51.4% males) were studied. Elderly FH patients ( Elderly FH patients have a higher prevalence of ASCVD, particularly CAD. Despite more aggressive treatment, the achievement of LDL-C targets remains very poor. These results emphasize the importance of early FH diagnosis and treatment in reducing ASCVD.

Sections du résumé

BACKGROUND BACKGROUND
Familial hypercholesterolemia (FH) carries a high risk of atherosclerotic cardiovascular disease (ASCVD). As the population ages, the age-related influence on clinical characteristics and outcomes becomes increasingly pertinent. This cross-sectional analysis from the HELLAS-FH registry aims to explore potential differences in clinical characteristics, treatment, ASCVD, and goal achievement between those younger and older than 65 years with FH.
RESULTS RESULTS
A total of 2273 adults with heterozygous FH (51.4% males) were studied. Elderly FH patients (
CONCLUSIONS CONCLUSIONS
Elderly FH patients have a higher prevalence of ASCVD, particularly CAD. Despite more aggressive treatment, the achievement of LDL-C targets remains very poor. These results emphasize the importance of early FH diagnosis and treatment in reducing ASCVD.

Identifiants

pubmed: 38275402
pii: biomedicines12010231
doi: 10.3390/biomedicines12010231
pii:
doi:

Types de publication

Journal Article

Langues

eng

Auteurs

Christina Antza (C)

3rd Department of Internal Medicine, Papageorgiou General Hospital, Medical School, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.

Christos V Rizos (CV)

Department of Internal Medicine, Medical School, University of Ioannina, 45110 Ioannina, Greece.

Vasileios Kotsis (V)

3rd Department of Internal Medicine, Papageorgiou General Hospital, Medical School, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.

George Liamis (G)

Department of Internal Medicine, Medical School, University of Ioannina, 45110 Ioannina, Greece.

Ioannis Skoumas (I)

Cardiology Clinic, Hippokration General Hospital, 54643 Athens, Greece.

Loukianos Rallidis (L)

Department of Cardiology, Attikon University General Hospital, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece.

Anastasia Garoufi (A)

Second Department of Pediatrics, General Children's Hospital "P. & A. Kyriakou", Medical School, National and Kapodistrian University of Athens, 15452 Athens, Greece.

Genovefa Kolovou (G)

Cardiometabolic Center, Lipid Clinic, LA Apheresis Unit, Metropolitan Hospital, 15562 Athens, Greece.

Konstantinos Tziomalos (K)

1st Propedeutic Department of Internal Medicine, AHEPA Hospital, Medical School, Aristotle University of Thessaloniki, 54636 Thessaloniki, Greece.

Emmanouil Skalidis (E)

Cardiology Clinic, University General Hospital of Heraklion, 70013 Heraklion, Greece.

George Sfikas (G)

Department of Internal Medicine, 424 General Military Training Hospital, 56429 Thessaloniki, Greece.

Michalis Doumas (M)

Department of Internal Medicine, Hippokration General Hospital, Medical School, Aristotle University of Thessaloniki, 54642 Thessaloniki, Greece.

Vaia Lambadiari (V)

2nd Propaedeutic Internal Medicine Department, Diabetes Research Unit, Attikon University General Hospital, National and Kapodistrian University of Athens, 12462 Athens, Greece.

Panagiotis Anagnostis (P)

Department of Endocrinology, Police Medical Centre, 54627 Thessaloniki, Greece.

Kimon Stamatelopoulos (K)

Department of Clinical Therapeutics, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece.

Georgia Anastasiou (G)

Department of Internal Medicine, Medical School, University of Ioannina, 45110 Ioannina, Greece.

Iosif Koutagiar (I)

Cardiology Clinic, Hippokration General Hospital, 54643 Athens, Greece.

Estela Kiouri (E)

Department of Cardiology, Attikon University General Hospital, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece.

Vana Kolovou (V)

Cardiometabolic Center, Lipid Clinic, LA Apheresis Unit, Metropolitan Hospital, 15562 Athens, Greece.

Georgios Polychronopoulos (G)

1st Propedeutic Department of Internal Medicine, AHEPA Hospital, Medical School, Aristotle University of Thessaloniki, 54636 Thessaloniki, Greece.

Evangelos Zacharis (E)

Cardiology Clinic, University General Hospital of Heraklion, 70013 Heraklion, Greece.

Charalambos Koumaras (C)

Department of Internal Medicine, 424 General Military Training Hospital, 56429 Thessaloniki, Greece.

Chrysoula Boutari (C)

Department of Internal Medicine, Hippokration General Hospital, Medical School, Aristotle University of Thessaloniki, 54642 Thessaloniki, Greece.

Haralampos Milionis (H)

Department of Internal Medicine, Medical School, University of Ioannina, 45110 Ioannina, Greece.

Evangelos Liberopoulos (E)

1st Propaedeutic Department of Medicine, Laiko Hospital, School of Medicine, National and Kapodistrian University of Athens, 15772 Athens, Greece.

Classifications MeSH