What are the universal screening guidelines for the syndrome of familial hypercholesterolemia (FH) in children?

Updated: Apr 09, 2021
  • Author: Nainesh K Gandhi, MD, MSE; Chief Editor: Keith K Vaux, MD  more...
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Answer

Answer

There is still controversy regarding universal screening of children for FH, with some believing that early identification can lead to early treatment and, as a result, reduction in total "cholesterol years." However, the long-term effects of statin therapy and the thresholds for initiation of treatment in young children are currently being debated. Groups such as the American Heart Association do not endorse universal screening, but they do state that cholesterol testing should be considered in children of parents with premature CHD and/or a history of elevated total cholesterol levels.


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