THE IMPACT OF FAMILIAL HYPERCHOLESTEROLEMIA ON CARDIOVASCULAR DISEASE
Familial hypercholesterolemia is one of the most common inherited diseases, that leads to an important cardiovascular morbidity and mortality, especially in developed countries. It is characterized by early coronary artery disease associated with cholesterol deposits that lead in time to atherosclerotic plaques, because of high levels of circulating cholesterol for a long period of time. Romania is in the group of countries at high risk for cardiovascular disease, being recommended that all internal medicine doctors and cardiologists use the SCORE Risk Chart, to calculate the cardiovascular risk for the next 10 years. The causes of hypercholesterolemia are multiple. On the one hand, the exogenous intake of dietary principles with high cholesterol content is incriminated, and on the other hand is the involvement of the genetic factor. Regarding the treatment in familial hypercholesterolemia, the most recent guidelines state that statins are the mainstay of treatment, but in addition we can also use new drugs like PCSK9 inhibitors, in combination with lifestyle changes. Through this article, we want to draw attention once again to the need for hypercholesterolemia treatment, in line with the latest recommendations of the guidelines.
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