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2024年波兰儿童和青少年家族性高胆固醇血症管理建议

2024 Polish recommendations for the management of familial hypercholesterolemia in children and adolescents.

作者信息

Myśliwiec Małgorzata, Bandura Marta, Wołoszyn-Durkiewicz Anna, Hennig Matylda, Walczak Mieczysław, Peregud-Pogorzelski Jarosław, Sykut-Cegielska Jolanta, Miszczak-Knecht Maria, Chlebus Krzysztof, Wasąg Bartosz, Zmysłowska Agnieszka, Banach Maciej

机构信息

Department of Pediatrics, Diabetology and Endocrinology, Medical University of Gdansk, Poland.

Department of Pediatrics, Endocrinology, Diabetology, Metabolic Diseases and Cardiology of Developmental Age, Pomeranian Medical University, Szczecin, Poland.

出版信息

Arch Med Sci. 2024 Nov 22;20(6):1741-1753. doi: 10.5114/aoms/196329. eCollection 2024.

DOI:10.5114/aoms/196329
PMID:39967943
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11831359/
Abstract

Familial hypercholesterolemia (FH) is the most common monogenic disease leading to the accelerated development of atherosclerotic cardiovascular disease (ASCVD). Despite increasing medical knowledge, diagnostic testing, and a growing number of therapeutic options, the effectiveness of detecting and treating FH remains highly insufficient. Only early detection (as early as possible) and optimal treatment in pediatric patients will lead to a significant reduction in morbidity and mortality from atherosclerotic cardiovascular disease (ASCVD) in later years. We present the guidelines for the management of FH in children and adolescents in Poland. This document is an update of the 2014 Position Paper of the Lipid Expert Forum.

摘要

家族性高胆固醇血症(FH)是导致动脉粥样硬化性心血管疾病(ASCVD)加速发展的最常见单基因疾病。尽管医学知识不断增加、诊断检测手段不断丰富,以及治疗选择越来越多,但FH的检测和治疗效果仍然非常不理想。只有在儿科患者中尽早发现(越早越好)并进行最佳治疗,才能在晚年显著降低动脉粥样硬化性心血管疾病(ASCVD)的发病率和死亡率。我们在此介绍波兰儿童和青少年FH管理指南。本文档是脂质专家论坛2014年立场文件的更新版。

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本文引用的文献

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To Screen or Not to Screen: That Is the Cholesterol Question.筛查还是不筛查:这就是胆固醇问题。
Pediatrics. 2024 Nov 1;154(5). doi: 10.1542/peds.2024-068548.
2
Recommendations of the Experts of the Polish Cardiac Society (PCS) and the Polish Lipid Association (PoLA) on the diagnosis and management of elevated lipoprotein(a) levels.波兰心脏病学会(PCS)和波兰脂质协会(PoLA)专家关于脂蛋白(a)水平升高的诊断和管理的建议。
Arch Med Sci. 2024 Jan 31;20(1):8-27. doi: 10.5114/aoms/183522. eCollection 2024.
3
Familial hypercholesterolemia and its manifestations: Practical considerations for general practitioners.家族性高胆固醇血症及其表现:全科医生的实用考虑。
Kardiol Pol. 2023;81(11):1081-1088. doi: 10.33963/v.kp.97845. Epub 2023 Nov 8.
4
Significance of lipids, lipoproteins, and apolipoproteins during the first 14-16 months of life.生命最初 14-16 个月期间脂类、脂蛋白和载脂蛋白的意义。
Eur Heart J. 2023 Nov 7;44(42):4408-4418. doi: 10.1093/eurheartj/ehad547.
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Dietary Models and Cardiovascular Risk Prevention in Pediatric Patients.饮食模式与儿科患者心血管风险预防
Nutrients. 2023 Aug 21;15(16):3664. doi: 10.3390/nu15163664.
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Future Cardiol. 2023 Mar;19(4):175-184. doi: 10.2217/fca-2022-0133. Epub 2023 Jun 6.
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