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CASE REPORT
Familial hypercholesterolaemia presenting with coronary artery disease in a young patient
  1. K S Subramani,
  2. Vikram B Kolhari,
  3. C N Manjunath,
  4. Shivkumar Bhairappa
  1. Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, Karnataka, India
  1. Correspondence to Dr Shivkumar Bhairappa, snbhairappa{at}gmail.com

Summary

A man in his early 20s presented with an angina on exertion and postprandial angina. Upon examination, the patient had carotid artery bruit and multiple tendon xanthomas. His lipid profile showed a very high total and low-density lipoprotein cholesterol; treadmill test was strongly positive. Subsequent coronary angiogram revealed triple vessel disease. The patient underwent revascularisation and is on lipid lowering therapy.

https://doi.org/10.1136/bcr-2013-008718

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