Familial hypercholesterolaemia presenting with coronary artery disease in a young patient

A man in his early 20s presented with an angina on exertion and postprandial angina. Upon examination, the patient had carotid artery bruit and multiple tendon xanthomas. His lipid profile showed a very high total and low-density lipoprotein cholesterol; treadmill test was strongly positive. Subsequ...

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Bibliographic Details
Published in:BMJ case reports 2013-03, Vol.2013, p.bcr2013008718
Main Authors: Subramani, K S, Kolhari, Vikram B, Manjunath, C N, Bhairappa, Shivkumar
Format: Article
Language:English
Subjects:
Angina pectoris
Angioplasty
Asia
Cardiovascular disease
Cholesterol
Coronary Artery Disease - etiology
Coronary vessels
Family medical history
Heart attacks
Humans
Hyperlipoproteinemia Type II - complications
Hyperlipoproteinemia Type II - diagnosis
Hypothyroidism
Indian Sub-Continent
Lipids
Lipoproteins
Male
Medical imaging
Metabolism
Mortality
Mutation
Rare Disease
Young Adult
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Description
Summary:A man in his early 20s presented with an angina on exertion and postprandial angina. Upon examination, the patient had carotid artery bruit and multiple tendon xanthomas. His lipid profile showed a very high total and low-density lipoprotein cholesterol; treadmill test was strongly positive. Subsequent coronary angiogram revealed triple vessel disease. The patient underwent revascularisation and is on lipid lowering therapy.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2013-008718