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Familial hypercholesterolemia (FH) is a common disease. The genetic background to FH is not yet fully understood. In the present prospective cohort study we aim to study the association between different clinical characteristics, gene mutations and prognosis.
In this prospective observational cohort study of patients with high clinical suspicion of familial hypercholesterolemia (FH) we aim to study the association between different clinical characteristics, gene mutations and prognosis.
The included patients will undergo physical examination and extended blood sampling. DNA will be extracted and used for both whole genome sequencing and investigation of both known- , unknown- and suspected mutations associated with FH.
The patients will be followed in for 15 years in the Swedish patients registry and the Swedish cause of death registry.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | Patients with high clinical suspicion of familial hypercholesterolemia. No intervention. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| No intervention | Other | No intervention. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Prevalence of mutations. | The prevalence of known and newly discovered mutations associated with FH in the study population. | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Prognosis, composite endpoint. | Time to death (cardiovascular and total), hospitalization due to acute myocardial infarction, unstable angina, heart failure or stroke. | 10 years |
| Prognosis, individual endpoint. |
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Inclusion Criteria:
Exclusion Criteria:
1) Age below 8 years.
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All patients with suspected FH referred to the cardiac clinic at Orebro University hospital and their first grade relatives.
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| Name | Affiliation | Role |
|---|---|---|
| Anna M Nordenskjöld, MD, PhD | Örebro University, Sweden | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Örebro University hospital | Örebro | 701 85 | Sweden |
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| ID | Term |
|---|---|
| D006938 | Hyperlipoproteinemia Type II |
| ID | Term |
|---|---|
| D008052 | Lipid Metabolism, Inborn Errors |
| D008661 | Metabolism, Inborn Errors |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
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Blood samples for investigation of lipids, electrolytes, markers of inflammation and myocardial injury. Blood samples for extraction of DNA for genetic analysis.
Time to the individual endpoints: death (cardiovascular and total), hospitalization due to acute myocardial infarction, unstable angina, heart failure, stroke.
| 10 years |
| D006951 | Hyperlipoproteinemias |
| D006949 | Hyperlipidemias |
| D050171 | Dyslipidemias |
| D052439 | Lipid Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |