One in 140 people here at risk of premature heart attack before they are turn 50 due to gene mutation

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One in 140 people here at risk of premature heart attack before they are turn 50 due to gene mutation
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Those with the inherited gene mutation could have very high bad cholesterol levels from birth. Read more at straitstimes.com.

SINGAPORE – A child here was just 2½ years old when he was started on cholesterol-lowering medication. At that time, the toddler had an extremely high level of LDL , the bad cholesterol – it was 15 millimoles per litre compared with the normal level for a toddler of below 3.4 mmol/L.

In 2020, 931 people here under the age of 50 had heart attacks, out of whom 15 were under 30 years old. In 2022, the team was given a larger grant by Precision Health Research Singapore, set up by the Government to promote data-driven healthcare. This allowed the team to accelerate the process.Professor Tan Chorh Chuan, Singapore’s chief health scientist, said people with the mutation need to be picked up early before they have a heart attack in their 20s, 30s or 40s.

Only about 40 per cent of the index cases – the first person in a family diagnosed – clinically diagnosed with FH were actually found to have a gene mutation after the screening. The rest have other causes for their high cholesterol levels. Treatment for both groups is the same. An article published in Current Cardiology Reviews in 2008 said: “This portrait painted in 1506 is probably the first evidence of familial hypercholesterolemia.”Prof Tan said FH screening has become possible only in recent years with easily available gene sequencing.

It is rare for a person to have two defective, cholesterol-linked genes, which makes the problem a lot more serious. Prof Tavintharan said that out of 1,162 index patients screened, 23 had more than one defective gene, but from different pairs.

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