Changing the Conversation Regarding Pediatric Cholesterol Screening
- 1 December 2012
- journal article
- editorial
- Published by American Medical Association (AMA) in Archives of Pediatrics & Adolescent Medicine
- Vol. 166 (12), 1097-1098
- https://doi.org/10.1001/archpediatrics.2012.1907
Abstract
In a debate at a meeting of the Pediatric Academic Societies in May 2012, I reiterated arguments against universal pediatric lipid screening because instituting the 2011 National Heart, Lung, and Blood Institute Expert Panel recommendations would identify a huge number of children who will never get heart disease, would require large amounts of resources, and would inflict torment on providers and patients for precious little return.1 During the ensuing discussion period, up to the microphone walked a 30-year-old woman who related her unexpected myocardial infarction some 5 years ago. Her poignant narrative reminded me of the first patient that I ever saw when I was a bright-eyed intern in the emergency department. He was 31 years old and had been dropped off by his wife for “ear pain” on her way to work. A few minutes later, he had a cardiac arrest and could not be resuscitated. These cases spotlight our dilemma regarding cardiovascular risk prevention starting early in life. How can we prevent these unanticipated cases of serious, sometimes fatal ischemic heart disease in young adults without weighing down an entire pediatric care system?Keywords
This publication has 5 references indexed in Scilit:
- Is Universal Pediatric Lipid Screening Justified?JAMA, 2012
- Effectiveness and Cost-Effectiveness of Blood Pressure Screening in Adolescents in the United StatesThe Journal of Pediatrics, 2011
- Controversies in familial hypercholesterolaemia: recommendations of the NICE Guideline Development Group for the identification and management of familial hypercholesterolaemiaHeart, 2008
- Diagnosing familial hypercholesterolaemia in childhood.BMJ, 1977
- Coronary Artery Disease in 116 Kindred with Familial Type II HyperlipoproteinemiaJournal of the American College of Cardiology, 1974