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Inicio Clínica e Investigación en Arteriosclerosis Early detection of severe hypertriglyceridemia using teleconsultation in a clini...
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Available online 3 May 2024
Early detection of severe hypertriglyceridemia using teleconsultation in a clinical laboratory setting
Detección precoz de la hipertrigliceridemia grave a través de la teleconsulta en el contexto del laboratorio clínico
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Teresa Arrobas-Velillaa, María José Arizab,
Corresponding author
mariza@uma.es

Corresponding author.
, Miguel Ángel Rico-Corralc, Pedro Valdivielsob,d
a Clinical Chemistry Unit, University Hospital Virgen Macarena, Seville, Spain
b Lipids and Atherosclerosis Laboratory, Department of Medicine and Dermatology, Centro de Investigaciones Médico Sanitarias (CIMES), Instituto de Investigación Biomédica de Málaga (IBIMA), University of Málaga, Málaga, Spain
c Internal Medicine Unit, University Hospital Virgen Macarena, Seville, Spain
d Internal Medicine and Lipid Units, University Hospital Virgen de la Victoria, Málaga, Spain
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Tables (2)
Table 1. Extended lipid profile of the proband.
Table 2. Clinical and genetic data of the proband and his family.
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Abstract
Background

Teleconsultation in the context of clinical laboratories is a valuable tool for the early detection of dyslipidemia and prevention of cardiovascular risk. Here, we describe a patient who was referred to the Lipid Unit of the Virgen Macarena Hospital due to an alert for severe hypertriglyceridemia through its teleconsultation program.

Case presentation

A comprehensive clinical and biochemical study of the patient was carried out, and genetic testing was performed on the patient and his family. The proband and his family showed mild to severe hypertriglyceridemia and various secondary factors, together with a genetic background associated with a triglyceride-raising effect.

Conclusion

This extensive study has identified a family at high risk of cardiovascular disease and acute pancreatitis. These findings can help maximize lifestyle changes and improve the clinical management of their dyslipidemia.

Keywords:
Severe hypertriglyceridemia
Cardiovascular disease
Clinical laboratory
Teleconsultation
Secondary factors
Genetics
Resumen
Antecedentes

En el contexto de los laboratorios clínicos, la teleconsulta es una herramienta útil para la detección temprana de la dislipidemia y el riesgo cardiovascular. En este trabajo se describe el caso de un paciente remitido a la Unidad de Lípidos del Hospital Virgen Macarena por una alerta por hipertrigliceridemia grave dentro del programa de teleconsulta.

Presentación del caso

Se realizó un estudio clínico y bioquímico amplio y un estudio genético del paciente y su familia. El caso índice y los familiares mostraron hipertrigliceridemia de moderada a grave y varios factores secundarios, junto con una carga genética asociada a un efecto elevador de los triglicéridos.

Conclusión

El estudio exhaustivo realizado ha permitido identificar a una familia con riesgo elevado de enfermedad cardiovascular y pancreatitis aguda. Estos hallazgos pueden ayudar a realizar cambios en el estilo de vida y a mejorar el tratamiento clínico de la dislipidemia del paciente y sus familiares.

Palabras clave:
Hipertrigliceridemia grave
Enfermedad cardiovascular
Laboratorio clínico
Teleconsulta
Factores secundarios
Factores genéticos

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