Familial hypercholesterolemia with coexisting renovascular stenosis and premature coronary artery disease

Ojas H. Mehta, James D. Cameron, Sam Mirzaee

Research output: Contribution to journalArticleOtherpeer-review

Abstract

Familial hypercholesterolemia (FH) is a common hereditary lipid disorder associated with substantial risk of premature atherosclerotic cardiovascular disease. We report an interesting newly diagnosed index case of FH in a 31-year-old man who presented to the hospital with an ST-elevated myocardial infarction. He had a background of inadequately treated hypertension and hypercholesterolemia. Further investigations raised the possibility of secondary hypertension after the identification of renal artery stenosis, in addition to other areas of mesenteric arterial stenoses. Our patient’s case highlights that early-onset hypertension and hypercholesterolemia in a young individual may be an early manifestation of FH requiring high clinical vigilance and awareness.

Original languageEnglish
Pages (from-to)730-733
Number of pages4
JournalAmerican Journal of Hypertension
Volume32
Issue number8
DOIs
Publication statusPublished - 1 Jan 2019

Keywords

  • Atherosclerosis
  • Blood pressure
  • Coronary artery disease
  • Familial hypercholesterolemia
  • Hypertension
  • Renal artery stenosis

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