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. 2021 Nov 8;17(6):1447–1547. doi: 10.5114/aoms/141941

Table XLI.

Patient characteristics and levels of care in the healthcare system at which care is provided to patients with lipid disorders, including FH

Level of care
Primary healthcare (PCH) Combined care (PHC and OSC) Outpatient specialist care (OSC) Hospitalisation
Patient:
  • Without CVD

  • Other risk factors are not present or are controlled

  • Treatment goals (LDL-C) have been achieved

  • Age over 18 years

Patient:
  • With stable CVD

  • Certain risk factors are difficult to control

  • Treatment goals slightly diverge from the desired values

  • Mild symptoms of statin intolerance

  • Heterozygous FH

  • Age over 10 years

Patient:
  • Age less than 10 years

  • Unstable CVD

  • Several uncontrolled risk factors

  • Recent myocardial infarction, stroke, or revascularisation,

  • Treatment goal not achieved despite combination therapy (LDL-C)

  • Severe symptoms of statin intolerance

  • Homozygous FH

  • Other: pre-conceptive period, pregnancy, apheresis, preparation for surgery

  • Acute cardiovascular event

  • Exacerbation of CVD

  • Rhabdomyolysis

  • End-stage renal disease

  • Planned liver transplantation

PHC – primary healthcare, OSC – outpatient specialist care, CVD – cardiovascular disease, FH – familial hypercholesterolaemia.