According to the World Health Organization, cardiovascular disease is the leading cause of death globally. There are millions suffering from the effects of cardiovascular disease.1
Many are taking medications, modifying their diet, and still not hitting their therapeutic target.
Cardiovascular Conditions
High Cholesterol
Almost 2 in 5 adults in the US have high cholesterol (total blood cholesterol > 200mg/dl). This can lead to deposits in your blood vessels that can put you at risk for heart attack and stroke. They are the two leading causes of death in the US.²
Familial Hypercholesterolemia (FH)
Known as FH, familial hypercholesterolemia is a common life-threatening genetic condition that causes high cholesterol and, if untreated, can lead to early heart disease and an increased risk of heart attack. This is due to a mutation in one of the genes that control the way cholesterol is cleared by the body. FH is one of the most common diseases compared with other inherited disorders.3 An estimated 1 in 250 Americans have FH, however, 70 percent may not have been accurately diagnosed.4
Atherosclerosis
Elevated Lp(a)
Risk Factors
Who is at Risk for Cardiovascular Disease?
You may be at risk for cardiovascular disease if you have:2
- A family history of cardiovascular disease
- A close relative who suffered from a heart attack
- A close relative who suffered from a heart attack at 40-50 years of age
- High blood pressure
- High cholesterol or dyslipidemia
- Diabetes
- Lifestyle choices including smoking or inactivity
- Obesity
Who is at Risk for FH?
The risk of familial hypercholesterolemia (FH) is higher if one or both of your parents have the gene alteration that causes it. Most people with FH have one affected gene. But in rare cases, a child can get the affected gene from both parents. This can cause a more severe form of the condition. FH may be more common in certain populations such as:³
- Ashkenazi Jews
- French Canadians
- Some Lebanese groups
Who is at Risk for Elevated Lp(a)?
High Lp(a) levels run in families. If one of your family members has high Lp(a), talk to your doctor about having your Lp(a) levels checked. High Lp(a) levels, defined as greater than 50 mg/dL (125 nmol/L), are common. High Lp(a) is seen in people of all races and ethnicities but appears to be more common in Black people. Many people with high Lp(a) have no symptoms. However, your doctor may suspect that you have high Lp(a) if you have any of the following risk factors:7
- Poor circulation in your legs (called peripheral arterial disease)
- Heart attack, stroke, or coronary artery disease before age 55 (in men) or age 65 (in women) without known risk factors, such as high LDL, smoking, diabetes, or obesity
- Female family members who had a heart attack or stroke before age 65
- Male family members who had a heart attack or stroke before age 55
- Familial hypercholesterolemia
- Certain types of aortic stenosis
How will I know if I have FH and/or high Lp(a)?
LIPOSORBER® as a Treatment Option
About LIPOSORBER
Indications For Use
The LIPOSORBER® LA-15 System is indicated for use in performing low density lipoprotein cholesterol (LDL-C) apheresis to acutely remove LDL-C from the plasma of the following high risk patient populations for whom diet has been ineffective and maximum drug therapy has been either ineffective or not tolerated:
- Group A. Clinically diagnosed Familial Hypercholesterolemic Homozygotes with LDL-C > 500 mg/dL;
- Group B. Clinically diagnosed Familial Hypercholesterolemic Heterozygotes with LDL-C ≥ 300 mg/dL;
- Group C. Clinically diagnosed Familial Hypercholesterolemic Heterozygotes with LDL-C ≥ 100 mg/dL and either documented coronary artery disease or documented peripheral artery disease; and
- Group D. Clinically diagnosed Familial Hypercholesterolemic Heterozygotes with LDL-C ≥ 100 mg/dL, lipoprotein(a) [Lp(a)] ≥60 mg/dL and either documented coronary artery disease or documented peripheral artery disease.
References:
- Cardiovascular Disease Key Facts.” World Health Organization, 11 June 2022, https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
- “Know You Risk for High Cholesterol” Center for Disease Control and Prevention, 24 Oct. 2022, https://www.cdc.gov/cholesterol/risk_factors.htm.
- “Familial Hypercholesterolemia: Medlineplus Genetics.” MedlinePlus, U.S. National Library of Medicine, 12 Mar. 2023, https://medlineplus.gov/genetics/condition/familial-hypercholesterolemia/
- Samuel Gidding, MD. “Understanding Heart Disease Risk and Risk Factors in Familial Hypercholesterolemia.” Family Heart Foundation, 21 Mar. 2019, https://familyheart.org/riskfactors-in-familial-hypercholesterolemia
- “Atherosclerosis: Causes and Risk Factors • HRI.” Heart Research Institute, 12 Mar. 2023, https://www.hri.org.au/health/learn/cardiovascular-disease/atherosclerosis-causes-and-risk-factors.
- Thanassoulis, George. “Screening for High Lipoprotein(a).” Circulation vol. 139,12 (2019):1493-1496. doi:10.1161/CIRCULATIONAHA.119.038989
- “Lipoprotein(a)” Centers for Disease Control and Prevention, 27 Jun. 2022, https://www.cdc.gov/genomics/disease/lipoprotein_a.htm
- Mabuchi, H et al. “Long-term efficacy of low-density lipoprotein apheresis on coronary heart disease in familial hypercholesterolemia.” Hokuriku-FH-LDL-Apheresis Study Group. The American journal of cardiology vol. 82,12 (1998): 1489-95.doi:10.1016s0002-9149(98)00692-4
- Kaneka Medical America LLC., 2021, LIPOSORBER®LA-15 SYSTEM Operator’s Manual No.1002en-R4, Section II.