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Integrated guidance on the care of familial hypercholesterolaemia from the International FH Foundation.

Identifieur interne : 003791 ( Main/Exploration ); précédent : 003790; suivant : 003792

Integrated guidance on the care of familial hypercholesterolaemia from the International FH Foundation.

Auteurs : Gerald F. Watts [Australie] ; Samuel Gidding [États-Unis] ; Anthony S. Wierzbicki [Royaume-Uni] ; Peter P. Toth [États-Unis] ; Rodrigo Alonso [Espagne] ; W Virgil Brown [États-Unis] ; Eric Bruckert [France] ; Joep Defesche [Pays-Bas] ; Khoo Kah Lin [Malaisie] ; Michael Livingston [Royaume-Uni] ; Pedro Mata [Espagne] ; Klaus G. Parhofer [Allemagne] ; Frederick J. Raal [Afrique du Sud] ; Raul D. Santos [Brésil] ; Eric J G. Sijbrands [Pays-Bas] ; William G. Simpson [Royaume-Uni] ; David R. Sullivan [Australie] ; Andrey V. Susekov [Russie] ; Brian Tomlinson [République populaire de Chine] ; Albert Wiegman [Pays-Bas] ; Shizuya Yamashita [Japon] ; John J P. Kastelein [Pays-Bas]

Source :

RBID : pubmed:24418289

Descripteurs français

English descriptors

Abstract

Familial hypercholesterolaemia (FH) is a dominantly inherited disorder present from birth that markedly elevates plasma low-density lipoprotein (LDL) cholesterol and causes premature coronary heart disease. There are at least 20 million people with FH worldwide, but the majority remain undetected and current treatment is often suboptimal. To address this major gap in coronary prevention we present, from an international perspective, consensus-based guidance on the care of FH. The guidance was generated from seminars and workshops held at an international symposium. The recommendations focus on the detection, diagnosis, assessment and management of FH in adults and children, and set guidelines for clinical purposes. They also refer to best practice for cascade screening and risk notifying and testing families for FH, including use of genetic testing. Guidance on treatment is based on risk stratification, management of non-cholesterol risk factors, and safe and effective use of LDL lowering therapies. Recommendations are given on lipoprotein apheresis. The use of emerging therapies for FH is also foreshadowed. This international guidance acknowledges evidence gaps, but aims to make the best use of contemporary practice and technology to achieve the best outcomes for the care of FH. It should accordingly be employed to inform clinical judgement and be adjusted for country-specific and local health care needs and resources.

DOI: 10.1016/j.ijcard.2013.11.025
PubMed: 24418289


Affiliations:


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Le document en format XML

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<name sortKey="Defesche, Joep" sort="Defesche, Joep" uniqKey="Defesche J" first="Joep" last="Defesche">Joep Defesche</name>
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<name sortKey="Lin, Khoo Kah" sort="Lin, Khoo Kah" uniqKey="Lin K" first="Khoo Kah" last="Lin">Khoo Kah Lin</name>
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<name sortKey="Livingston, Michael" sort="Livingston, Michael" uniqKey="Livingston M" first="Michael" last="Livingston">Michael Livingston</name>
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<name sortKey="Mata, Pedro" sort="Mata, Pedro" uniqKey="Mata P" first="Pedro" last="Mata">Pedro Mata</name>
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<nlm:affiliation>Lipid Clinic Heart Institute (InCor), University of Sao Paulo Medical School, University of Sao Paulo, Brazil.</nlm:affiliation>
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<name sortKey="Sijbrands, Eric J G" sort="Sijbrands, Eric J G" uniqKey="Sijbrands E" first="Eric J G" last="Sijbrands">Eric J G. Sijbrands</name>
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<nlm:affiliation>Section of Pharmacology, Vascular and Metabolic Diseases, Department of Internal Medicine, Erasmus Medical Center, Erasmus University, Rotterdam, The Netherlands.</nlm:affiliation>
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<name sortKey="Simpson, William G" sort="Simpson, William G" uniqKey="Simpson W" first="William G" last="Simpson">William G. Simpson</name>
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<name sortKey="Sullivan, David R" sort="Sullivan, David R" uniqKey="Sullivan D" first="David R" last="Sullivan">David R. Sullivan</name>
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<nlm:affiliation>Division of Clinical Pharmacology, Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China.</nlm:affiliation>
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<name sortKey="Wiegman, Albert" sort="Wiegman, Albert" uniqKey="Wiegman A" first="Albert" last="Wiegman">Albert Wiegman</name>
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<nlm:affiliation>Department of Paediatrics, Academic Medical Centre, University of Amsterdam, The Netherlands.</nlm:affiliation>
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<orgName type="university">Université d'Amsterdam</orgName>
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<name sortKey="Yamashita, Shizuya" sort="Yamashita, Shizuya" uniqKey="Yamashita S" first="Shizuya" last="Yamashita">Shizuya Yamashita</name>
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<nlm:affiliation>Department of Community Medicine, Osaka University Graduate School of Medicine, Osaka University, Japan; Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Osaka University, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Community Medicine, Osaka University Graduate School of Medicine, Osaka University, Japan; Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Osaka University</wicri:regionArea>
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<name sortKey="Kastelein, John J P" sort="Kastelein, John J P" uniqKey="Kastelein J" first="John J P" last="Kastelein">John J P. Kastelein</name>
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<nlm:affiliation>Department of Vascular Medicine, Academic Medical Centre, University of Amsterdam, The Netherlands.</nlm:affiliation>
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<wicri:regionArea>Department of Vascular Medicine, Academic Medical Centre, University of Amsterdam</wicri:regionArea>
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<settlement type="city">Amsterdam</settlement>
<region>Hollande-Septentrionale</region>
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<name sortKey="Wierzbicki, Anthony S" sort="Wierzbicki, Anthony S" uniqKey="Wierzbicki A" first="Anthony S" last="Wierzbicki">Anthony S. Wierzbicki</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>CGH Medical Centre, Sterling Illinois, University of Illinois College of Medicine, Peoria, USA; Illinois Michigan State University College of Osteopathic Medicine, East Lansing, MI</wicri:regionArea>
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<name sortKey="Alonso, Rodrigo" sort="Alonso, Rodrigo" uniqKey="Alonso R" first="Rodrigo" last="Alonso">Rodrigo Alonso</name>
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<nlm:affiliation>Lipid Clinic, Department of Internal Medicine, Fundacion Jimenez Diaz, Madrid, Spain.</nlm:affiliation>
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<wicri:regionArea>Lipid Clinic, Department of Internal Medicine, Fundacion Jimenez Diaz, Madrid</wicri:regionArea>
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<settlement type="city">Madrid</settlement>
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<name sortKey="Brown, W Virgil" sort="Brown, W Virgil" uniqKey="Brown W" first="W Virgil" last="Brown">W Virgil Brown</name>
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<nlm:affiliation>Emory University School of Medicine, Emory University, Atlanta, GA, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Emory University School of Medicine, Emory University, Atlanta, GA</wicri:regionArea>
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<region type="state">Géorgie (États-Unis)</region>
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<name sortKey="Bruckert, Eric" sort="Bruckert, Eric" uniqKey="Bruckert E" first="Eric" last="Bruckert">Eric Bruckert</name>
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<nlm:affiliation>Department of Endocrinology and Prevention of Cardiovascular Disease, Hôpital Pitié-Salpêtrière, University of Paris VI, Paris, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Endocrinology and Prevention of Cardiovascular Disease, Hôpital Pitié-Salpêtrière, University of Paris VI, Paris</wicri:regionArea>
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<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
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<name sortKey="Defesche, Joep" sort="Defesche, Joep" uniqKey="Defesche J" first="Joep" last="Defesche">Joep Defesche</name>
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<nlm:affiliation>Laboratory for Experimental Vascular Medicine, Section of Molecular Diagnostics, Academic Medical Centre, University of Amsterdam, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Laboratory for Experimental Vascular Medicine, Section of Molecular Diagnostics, Academic Medical Centre, University of Amsterdam</wicri:regionArea>
<placeName>
<settlement type="city">Amsterdam</settlement>
<region>Hollande-Septentrionale</region>
</placeName>
<orgName type="university">Université d'Amsterdam</orgName>
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<name sortKey="Lin, Khoo Kah" sort="Lin, Khoo Kah" uniqKey="Lin K" first="Khoo Kah" last="Lin">Khoo Kah Lin</name>
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<nlm:affiliation>Pontai Medical Centre, Heart Foundation of Malaysia, Kuala Lumpur, Malaysia.</nlm:affiliation>
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<author>
<name sortKey="Livingston, Michael" sort="Livingston, Michael" uniqKey="Livingston M" first="Michael" last="Livingston">Michael Livingston</name>
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<orgName type="university">Université Louis-et-Maximilien de Munich</orgName>
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<name sortKey="Raal, Frederick J" sort="Raal, Frederick J" uniqKey="Raal F" first="Frederick J" last="Raal">Frederick J. Raal</name>
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<nlm:affiliation>Carbohydrate and Lipid Metabolism Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</nlm:affiliation>
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<wicri:regionArea>Carbohydrate and Lipid Metabolism Research Unit, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg</wicri:regionArea>
<orgName type="university">Université du Witwatersrand</orgName>
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<settlement type="city">Johannesbourg</settlement>
<region type="region" nuts="2">Gauteng</region>
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</affiliation>
</author>
<author>
<name sortKey="Santos, Raul D" sort="Santos, Raul D" uniqKey="Santos R" first="Raul D" last="Santos">Raul D. Santos</name>
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<nlm:affiliation>Lipid Clinic Heart Institute (InCor), University of Sao Paulo Medical School, University of Sao Paulo, Brazil.</nlm:affiliation>
<country xml:lang="fr">Brésil</country>
<wicri:regionArea>Lipid Clinic Heart Institute (InCor), University of Sao Paulo Medical School, University of Sao Paulo</wicri:regionArea>
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<settlement type="city">São Paulo</settlement>
<region type="state">État de São Paulo</region>
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<orgName type="university">Université de São Paulo</orgName>
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<name sortKey="Sijbrands, Eric J G" sort="Sijbrands, Eric J G" uniqKey="Sijbrands E" first="Eric J G" last="Sijbrands">Eric J G. Sijbrands</name>
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<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Section of Pharmacology, Vascular and Metabolic Diseases, Department of Internal Medicine, Erasmus Medical Center, Erasmus University, Rotterdam</wicri:regionArea>
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<settlement type="city">Rotterdam</settlement>
<region nuts="2" type="province">Hollande-Méridionale</region>
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<name sortKey="Simpson, William G" sort="Simpson, William G" uniqKey="Simpson W" first="William G" last="Simpson">William G. Simpson</name>
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<nlm:affiliation>Department of Clinical Biochemistry, Aberdeen Royal Infirmary, University of Aberdeen, Aberdeen, Scotland, UK.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Department of Clinical Biochemistry, Aberdeen Royal Infirmary, University of Aberdeen, Aberdeen, Scotland</wicri:regionArea>
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</affiliation>
</author>
<author>
<name sortKey="Sullivan, David R" sort="Sullivan, David R" uniqKey="Sullivan D" first="David R" last="Sullivan">David R. Sullivan</name>
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<nlm:affiliation>Lipid Clinic and Department of Biochemistry, Royal Prince Alfred Hospital, University of Sydney, New South Wales, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Lipid Clinic and Department of Biochemistry, Royal Prince Alfred Hospital, University of Sydney, New South Wales</wicri:regionArea>
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<settlement type="city">Sydney</settlement>
<region type="état">Nouvelle-Galles du Sud</region>
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</affiliation>
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<name sortKey="Susekov, Andrey V" sort="Susekov, Andrey V" uniqKey="Susekov A" first="Andrey V" last="Susekov">Andrey V. Susekov</name>
<affiliation wicri:level="3">
<nlm:affiliation>Laboratory of Clinical Lipidology, Department of Atherosclerosis, Cardiology Research Complex, Ministry of Health of Russian Federation, Moscow, Russia.</nlm:affiliation>
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<wicri:regionArea>Laboratory of Clinical Lipidology, Department of Atherosclerosis, Cardiology Research Complex, Ministry of Health of Russian Federation, Moscow</wicri:regionArea>
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<settlement type="city">Moscou</settlement>
<region>District fédéral central</region>
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<name sortKey="Tomlinson, Brian" sort="Tomlinson, Brian" uniqKey="Tomlinson B" first="Brian" last="Tomlinson">Brian Tomlinson</name>
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<nlm:affiliation>Division of Clinical Pharmacology, Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China.</nlm:affiliation>
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<wicri:regionArea>Division of Clinical Pharmacology, Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong</wicri:regionArea>
<orgName type="university">Université chinoise de Hong Kong</orgName>
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<settlement type="city">Sha Tin</settlement>
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<name sortKey="Wiegman, Albert" sort="Wiegman, Albert" uniqKey="Wiegman A" first="Albert" last="Wiegman">Albert Wiegman</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Paediatrics, Academic Medical Centre, University of Amsterdam, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Paediatrics, Academic Medical Centre, University of Amsterdam</wicri:regionArea>
<placeName>
<settlement type="city">Amsterdam</settlement>
<region>Hollande-Septentrionale</region>
</placeName>
<orgName type="university">Université d'Amsterdam</orgName>
</affiliation>
</author>
<author>
<name sortKey="Yamashita, Shizuya" sort="Yamashita, Shizuya" uniqKey="Yamashita S" first="Shizuya" last="Yamashita">Shizuya Yamashita</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Community Medicine, Osaka University Graduate School of Medicine, Osaka University, Japan; Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Osaka University, Japan.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Community Medicine, Osaka University Graduate School of Medicine, Osaka University, Japan; Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Osaka University</wicri:regionArea>
<wicri:noRegion>Osaka University</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Kastelein, John J P" sort="Kastelein, John J P" uniqKey="Kastelein J" first="John J P" last="Kastelein">John J P. Kastelein</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Vascular Medicine, Academic Medical Centre, University of Amsterdam, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Vascular Medicine, Academic Medical Centre, University of Amsterdam</wicri:regionArea>
<placeName>
<settlement type="city">Amsterdam</settlement>
<region>Hollande-Septentrionale</region>
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<orgName type="university">Université d'Amsterdam</orgName>
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</analytic>
<series>
<title level="j">International journal of cardiology</title>
<idno type="eISSN">1874-1754</idno>
<imprint>
<date when="2014" type="published">2014</date>
</imprint>
</series>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Anticholesteremic Agents (therapeutic use)</term>
<term>Foundations (standards)</term>
<term>Humans</term>
<term>Hyperlipoproteinemia Type II (diagnosis)</term>
<term>Hyperlipoproteinemia Type II (therapy)</term>
<term>Internationality</term>
<term>Patient Care (methods)</term>
<term>Patient Care (standards)</term>
<term>Practice Guidelines as Topic (standards)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Anticholestérolémiants (usage thérapeutique)</term>
<term>Fondations (normes)</term>
<term>Guides de bonnes pratiques cliniques comme sujet (normes)</term>
<term>Humains</term>
<term>Hyperlipoprotéinémie de type II ()</term>
<term>Hyperlipoprotéinémie de type II (diagnostic)</term>
<term>Internationalité</term>
<term>Soins aux patients ()</term>
<term>Soins aux patients (normes)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Anticholesteremic Agents</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Hyperlipoproteinemia Type II</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr">
<term>Hyperlipoprotéinémie de type II</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Patient Care</term>
</keywords>
<keywords scheme="MESH" qualifier="normes" xml:lang="fr">
<term>Fondations</term>
<term>Guides de bonnes pratiques cliniques comme sujet</term>
<term>Soins aux patients</term>
</keywords>
<keywords scheme="MESH" qualifier="standards" xml:lang="en">
<term>Foundations</term>
<term>Patient Care</term>
<term>Practice Guidelines as Topic</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Hyperlipoproteinemia Type II</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr">
<term>Anticholestérolémiants</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Humans</term>
<term>Internationality</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Humains</term>
<term>Hyperlipoprotéinémie de type II</term>
<term>Internationalité</term>
<term>Soins aux patients</term>
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<front>
<div type="abstract" xml:lang="en">Familial hypercholesterolaemia (FH) is a dominantly inherited disorder present from birth that markedly elevates plasma low-density lipoprotein (LDL) cholesterol and causes premature coronary heart disease. There are at least 20 million people with FH worldwide, but the majority remain undetected and current treatment is often suboptimal. To address this major gap in coronary prevention we present, from an international perspective, consensus-based guidance on the care of FH. The guidance was generated from seminars and workshops held at an international symposium. The recommendations focus on the detection, diagnosis, assessment and management of FH in adults and children, and set guidelines for clinical purposes. They also refer to best practice for cascade screening and risk notifying and testing families for FH, including use of genetic testing. Guidance on treatment is based on risk stratification, management of non-cholesterol risk factors, and safe and effective use of LDL lowering therapies. Recommendations are given on lipoprotein apheresis. The use of emerging therapies for FH is also foreshadowed. This international guidance acknowledges evidence gaps, but aims to make the best use of contemporary practice and technology to achieve the best outcomes for the care of FH. It should accordingly be employed to inform clinical judgement and be adjusted for country-specific and local health care needs and resources.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Afrique du Sud</li>
<li>Allemagne</li>
<li>Australie</li>
<li>Brésil</li>
<li>Espagne</li>
<li>France</li>
<li>Japon</li>
<li>Malaisie</li>
<li>Pays-Bas</li>
<li>Royaume-Uni</li>
<li>Russie</li>
<li>République populaire de Chine</li>
<li>États-Unis</li>
</country>
<region>
<li>Angleterre</li>
<li>Bavière</li>
<li>Communauté de Madrid</li>
<li>District de Haute-Bavière</li>
<li>District fédéral central</li>
<li>Gauteng</li>
<li>Grand Londres</li>
<li>Géorgie (États-Unis)</li>
<li>Hollande-Méridionale</li>
<li>Hollande-Septentrionale</li>
<li>Michigan</li>
<li>Nouvelle-Galles du Sud</li>
<li>Pennsylvanie</li>
<li>État de São Paulo</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Amsterdam</li>
<li>Johannesbourg</li>
<li>Londres</li>
<li>Madrid</li>
<li>Moscou</li>
<li>Munich</li>
<li>Paris</li>
<li>Rotterdam</li>
<li>Sha Tin</li>
<li>Sydney</li>
<li>São Paulo</li>
</settlement>
<orgName>
<li>Université Louis-et-Maximilien de Munich</li>
<li>Université chinoise de Hong Kong</li>
<li>Université d'Amsterdam</li>
<li>Université de Sydney</li>
<li>Université de São Paulo</li>
<li>Université du Witwatersrand</li>
</orgName>
</list>
<tree>
<country name="Australie">
<noRegion>
<name sortKey="Watts, Gerald F" sort="Watts, Gerald F" uniqKey="Watts G" first="Gerald F" last="Watts">Gerald F. Watts</name>
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<name sortKey="Sullivan, David R" sort="Sullivan, David R" uniqKey="Sullivan D" first="David R" last="Sullivan">David R. Sullivan</name>
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<region name="Pennsylvanie">
<name sortKey="Gidding, Samuel" sort="Gidding, Samuel" uniqKey="Gidding S" first="Samuel" last="Gidding">Samuel Gidding</name>
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<name sortKey="Brown, W Virgil" sort="Brown, W Virgil" uniqKey="Brown W" first="W Virgil" last="Brown">W Virgil Brown</name>
<name sortKey="Toth, Peter P" sort="Toth, Peter P" uniqKey="Toth P" first="Peter P" last="Toth">Peter P. Toth</name>
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<region name="Angleterre">
<name sortKey="Wierzbicki, Anthony S" sort="Wierzbicki, Anthony S" uniqKey="Wierzbicki A" first="Anthony S" last="Wierzbicki">Anthony S. Wierzbicki</name>
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<name sortKey="Livingston, Michael" sort="Livingston, Michael" uniqKey="Livingston M" first="Michael" last="Livingston">Michael Livingston</name>
<name sortKey="Simpson, William G" sort="Simpson, William G" uniqKey="Simpson W" first="William G" last="Simpson">William G. Simpson</name>
</country>
<country name="Espagne">
<region name="Communauté de Madrid">
<name sortKey="Alonso, Rodrigo" sort="Alonso, Rodrigo" uniqKey="Alonso R" first="Rodrigo" last="Alonso">Rodrigo Alonso</name>
</region>
<name sortKey="Mata, Pedro" sort="Mata, Pedro" uniqKey="Mata P" first="Pedro" last="Mata">Pedro Mata</name>
</country>
<country name="France">
<region name="Île-de-France">
<name sortKey="Bruckert, Eric" sort="Bruckert, Eric" uniqKey="Bruckert E" first="Eric" last="Bruckert">Eric Bruckert</name>
</region>
</country>
<country name="Pays-Bas">
<region name="Hollande-Septentrionale">
<name sortKey="Defesche, Joep" sort="Defesche, Joep" uniqKey="Defesche J" first="Joep" last="Defesche">Joep Defesche</name>
</region>
<name sortKey="Kastelein, John J P" sort="Kastelein, John J P" uniqKey="Kastelein J" first="John J P" last="Kastelein">John J P. Kastelein</name>
<name sortKey="Sijbrands, Eric J G" sort="Sijbrands, Eric J G" uniqKey="Sijbrands E" first="Eric J G" last="Sijbrands">Eric J G. Sijbrands</name>
<name sortKey="Wiegman, Albert" sort="Wiegman, Albert" uniqKey="Wiegman A" first="Albert" last="Wiegman">Albert Wiegman</name>
</country>
<country name="Malaisie">
<noRegion>
<name sortKey="Lin, Khoo Kah" sort="Lin, Khoo Kah" uniqKey="Lin K" first="Khoo Kah" last="Lin">Khoo Kah Lin</name>
</noRegion>
</country>
<country name="Allemagne">
<region name="Bavière">
<name sortKey="Parhofer, Klaus G" sort="Parhofer, Klaus G" uniqKey="Parhofer K" first="Klaus G" last="Parhofer">Klaus G. Parhofer</name>
</region>
</country>
<country name="Afrique du Sud">
<region name="Gauteng">
<name sortKey="Raal, Frederick J" sort="Raal, Frederick J" uniqKey="Raal F" first="Frederick J" last="Raal">Frederick J. Raal</name>
</region>
</country>
<country name="Brésil">
<region name="État de São Paulo">
<name sortKey="Santos, Raul D" sort="Santos, Raul D" uniqKey="Santos R" first="Raul D" last="Santos">Raul D. Santos</name>
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</country>
<country name="Russie">
<region name="District fédéral central">
<name sortKey="Susekov, Andrey V" sort="Susekov, Andrey V" uniqKey="Susekov A" first="Andrey V" last="Susekov">Andrey V. Susekov</name>
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<name sortKey="Tomlinson, Brian" sort="Tomlinson, Brian" uniqKey="Tomlinson B" first="Brian" last="Tomlinson">Brian Tomlinson</name>
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<name sortKey="Yamashita, Shizuya" sort="Yamashita, Shizuya" uniqKey="Yamashita S" first="Shizuya" last="Yamashita">Shizuya Yamashita</name>
</noRegion>
</country>
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