Familial Hypercholesterolemia
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Among patients and children identified with elevated LDL-C through the Kagawa Prefecture pediatric lifestyle disease prevention screening program and other health checkups, as well as their family members, those who are diagnosed with or suspected of having familial hypercholesterolemia (FH) according to the most recent diagnostic criteria of the Japanese Atherosclerosis Society (JAS) guidelines for FH or pediatric FH will be evaluated. The fulfillment of the latest guideline criteria will be confirmed through interviews with the patients or children, or directly with their family members, as well as through clinical examination.
Exclusion criteria
Exclusion criteria: Patients and children diagnosed with hyper LDL cholesterolemia other than familial hypercholesterolemia (FH), including secondary causes of elevated LDL-C, will be excluded. The diagnosis of secondary hyper LDL cholesterolemia will be based on the identification of underlying conditions such as diabetes mellitus, hypothyroidism, nephrotic syndrome, and cholestatic liver disease or medication-related causes (e.g., corticosteroids), assessed through blood tests and medication history.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Age Sex Medical history Family history of familial hypercholesterolemia (FH) or premature coronary artery disease Height Weight Foot size Blood pressure and heart rate Body mass index (BMI) Presence of tendon xanthomas or cutaneous nodular xanthomas Lipid-lowering therapy (medication status): type of medication, start date, and discontinuation date Lipid-lowering therapy (adverse effects): type of adverse effects (e.g., liver dysfunction, elevated creatine phosphokinase (CPK), others) Carotid ultrasonography findings: intima-media thickness (IMT), presence of carotid plaque, and carotid stenosis Pulse wave velocity / arterial stiffness assessment Achilles tendon assessment (ultrasonography and/or X-ray) Presence of cardiovascular events Genetic testing Laboratory tests (blood and urine analyses) | — |
Countries
Japan
Contacts
Faculty of Medicine, Kagawa University Department of Cardiorenal and Cerebrovascular Medicine