- •Premature coronary heart disease (CHD) is uncommon in young women.
- •Common causes of premature CHD include familial hypercholesterolemia, diabetes, and heavy smoking.
- •This case adds high lipoprotein(a) levels as another potential cause of premature CHD.
Although high levels of Lp(a) have become increasingly recognized as a risk factor for coronary heart disease (CHD), its association with very premature CHD (ie, younger than 30 years) is unclear. We present a case of a young woman with very high levels of Lp(a) in whom accelerated CHD is unlikely to be accounted for by traditional risk factors.
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Published online: March 20, 2019
Accepted: March 12, 2019
Received: October 30, 2018
Published by Elsevier Inc. on behalf of National Lipid Association.