Sex Differences in Familial Hypercholesterolemia.

Autor: Klevmoen, Marianne, Mulder, Janneke W.C.M., Roeters van Lennep, Jeanine E., Holven, Kirsten B.
Zdroj: Current Atherosclerosis Reports; Nov2023, Vol. 25 Issue 11, p861-868, 8p
Abstrakt: Purpose of Review: This review aims to summarize the existing research on sex differences in familial hypercholesterolemia (FH) across the lifespan. Recent Findings: From childhood onward, total- and low-density lipoprotein cholesterol (LDL-C) levels in girls are higher than those in boys with FH. By the age of 30 years, women with FH have a higher LDL-C burden than men. In adulthood, women are diagnosed later than men, receive less lipid-lowering treatment, and consequently have higher LDL-C levels. An excessive atherosclerotic cardiovascular disease risk is reported in young female compared to male FH patients. The periods of pregnancy and breastfeeding contribute to treatment loss and increased cholesterol burden. Summary: Earlier initiation of treatment, especially in girls with FH, and lifelong treatment during all life stages are important. Future research should aim to recruit both women and men, report sex-specific data, and investigate the impact of the female life course on cardiovascular outcomes. Future guidelines should include sex-specific aspects. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index