Naslov
Coronary artery disease due to familial hypercholesterolaemia – a case report

Autori
Štrajtenberger, Maja ; Nedeljković, Vanja ; Božan, Marina

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Skup
Hrvatski kardiološki kongres s međunarodnim sudjelovanjem

Mjesto i datum
Online ; Zagreb, Hrvatska, 09.11.2022. - 10.11.2022

Vrsta sudjelovanja
Poster

Vrsta recenzije
Podatak o recenziji nije dostupan

Ključne riječi
coronary artery disease ; familial hypercholesterolemia ; proprotein convertase subtilisin/kexin type 9 inhibitor

Sažetak
34-year-old obese man came to our infirmary due to exercise induced chest discomfort and pain which would resolve upon rest after 3-4 minutes. His family history is significant for familial hypercholesterolemia and his father’s sudden death at the age of 44. Five months prior to our exam he did 24-hour holter ECG and thyroid ultrasound which showed no abnormalities. Carotid ultrasound revealed minor atherosclerotic plaques along ACC and on bifurcations. MSCT coronarography described insignificant to borderline stenosis of LMCA and insignificant stenosis of LAD, Cx, RCA. Due to elevated values in lipid panel, he was administrated with combination therapy rosuvastatin and ezetimibe. For further evaluation we did an echocardiography which showed all measures within reference values, 24-hour blood pressure monitor which revealed underlying hypertension, and exercise stress test which was interrupted due to chest pain and inferolateral ST-segment depression. Invasive coronarography was done (6 months after the first one) which depicted LMCA subocclusion, so the patient was accepted for urgent cardiovascular procedure – a double bypass was done (LIMA-LAD, LRA- OM1). He is treated due to recently published guidelines for ischemic heart disease and high lipid management. (1)

Izvorni jezik
Engleski

Znanstvena područja
Demografija, Biotehnologija u biomedicini (prirodno područje, biomedicina i zdravstvo, biotehničko područje)

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