1. Diagnostic performance of various familial hypercholesterolaemia diagnostic criteria compared to Dutch lipid clinic criteria in an Asian population
- Author
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Suraya Abdul-Razak, Rohana Abdul Ghani, Sazzli Kasim, Azhari Rosman, Abdul Rais Sanusi, Radzi Rahmat, Alicezah Mohd Kasim, Thuhairah Hasrah Abdul Rahman, Zaliha Ismail, Z.O. Ibrahim, Nadzimah Mohd Nasir, Suhaila Abd Muid, and Hapizah Md Nawawi
- Subjects
Adult ,Male ,lcsh:Diseases of the circulatory (Cardiovascular) system ,medicine.medical_specialty ,030204 cardiovascular system & hematology ,Hyperlipoproteinemia Type II ,03 medical and health sciences ,0302 clinical medicine ,Asian People ,Internal medicine ,Positive predicative value ,medicine ,Humans ,High likelihood ,Dutch Lipid Clinic Criteria ,Genetic Testing ,030212 general & internal medicine ,Lipid clinic ,Netherlands ,Genetic testing ,medicine.diagnostic_test ,business.industry ,Malaysia ,Premature coronary artery disease ,Cholesterol, LDL ,Middle Aged ,Cross-Sectional Studies ,lcsh:RC666-701 ,Simon Broome ,Physical therapy ,Asian population ,Female ,Japanese FH Management Guideline Criteria ,Familial Hypercholesterolaemia ,Cardiology and Cardiovascular Medicine ,business ,US Make Early Diagnosis to Prevent Early Deaths ,Research Article - Abstract
Background Familial hypercholesterolaemia (FH) is a genetic disorder with a high risk of developing premature coronary artery disease that should be diagnosed as early as possible. Several clinical diagnostic criteria for FH are available, with the Dutch Lipid Clinic Criteria (DLCC) being widely used. Information regarding diagnostic performances of the other criteria against the DLCC is scarce. We aimed to examine the diagnostic performance of the Simon-Broom (SB) Register criteria, the US Make Early Diagnosis to Prevent Early Deaths (US MEDPED) and the Japanese FH Management Criteria (JFHMC) compared to the DLCC. Methods Seven hundered fifty five individuals from specialist clinics and community health screenings with LDL-c level ≥ 4.0 mmol/L were selected and diagnosed as FH using the DLCC, the SB Register criteria, the US MEDPED and the JFHMC. The sensitivity, specificity, efficiency, positive and negative predictive values of individuals screened with the SB register criteria, US MEDPED and JFHMC were assessed against the DLCC. Results We found the SB register criteria identified more individuals with FH compared to the US MEDPED and the JFHMC (212 vs. 105 vs. 195; p
- Published
- 2017
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