Received: January 14, 2018
Revision received: January 15, 2018
Accepted after revision: January 17, 2018
BKK Med J 2018;14(1):57-62.
We report on a previously healthy young man who sustained an acute myocardial infarction at the age of 29. Invasive coronary angiography revealed a culprit lesion in the mid-left anterior ascending coronary artery, which was successfully stented. He was subsequently found to have a low-density lipoprotein-cholesterol of 286 mg/dl without other lipid abnormalities or exposures to atherosclerotic risk factors. He was noted to have xanthomas on his Achilles tendons. His family history revealed numerous relatives with severe dyslipidemia. We review the diagnosis, prognosis, and treatment of familial hypercholesterolemia.
sudden cardiac death, acute myocardial infarction, premature atherosclerosis, familial hypercholesterolemia, Thai population studies
Gumpanart Veerakul, MD
Cardiovascular Disease Prevention, Bangkok Heart Hospital,
2 Soi Soonvijai 7, New Petchburi Rd., Bangkok 10310, Thailand