Evidence map›Paper›PMID 41677491›Full record

ArticleJACC. Case reports2026

Myocardial Ischemia in Young Women With Familial Hypercholesterolemia: Similar Presentation and Divergent Treatment Response.

Lilia Yamilet Flores-Renteria, Carlos Antonio Villegas-Chavez, Jorge Ulises Mendoza-Salgado, Oscar de Jesus Gamboa-Hernandez, Victor Jesus Lara-Ameca, Victor Alejandro Quiroz-Martinez, Karina Del Valle Zamora

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lilia Yamilet Flores-RenteriaUniversidad Autónoma Metropolitana, Mexico City, Mexico.
Carlos Antonio Villegas-ChavezEighth Floor Adults Hospitalization, Instituto Nacional de Cardiología, Mexico City, Mexico.
Jorge Ulises Mendoza-SalgadoEighth Floor Adults Hospitalization, Instituto Nacional de Cardiología, Mexico City, Mexico.
Oscar de Jesus Gamboa-HernandezEducational Directorate, Instituto Nacional de Cardiología, Mexico City, Mexico.
Victor Jesus Lara-AmecaDepartment of Radiology and Imaging, Instituto Nacional de Cardiología, Mexico City, Mexico.
Victor Alejandro Quiroz-MartinezEighth Floor Adults Hospitalization, Instituto Nacional de Cardiología, Mexico City, Mexico.
Karina Del Valle ZamoraEighth Floor Adults Hospitalization, Instituto Nacional de Cardiología, Mexico City, Mexico. Electronic address: valle2356@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFamilial hypercholesterolemia (FH) is a disorder often underdiagnosed in young women, delaying prevention of premature coronary disease. CASE SUMMARY: We report 2 women with FH and strong family histories of cardiovascular disease who developed early ischemic events. The first patient experienced STEMI followed by NSTEMI with progressive ventricular dysfunction, requiring repeated percutaneous coronary intervention. The second patient presented with unstable angina and severe 3-vessel disease, managed successfully with coronary artery bypass grafting. Both cases highlight the consequences of delayed recognition of FH and the need for systematic risk assessment. DISCUSSION: Timely identification through lipid evaluation, multimodal imaging, and genetic cascade screening is essential to prevent early onset of atherosclerotic cardiovascular disease in patients with FH. These cases demonstrate the advanced coronary burden that may develop in young women when FH remains unrecognized or undertreated. KEY MESSAGE: Incorporating cascade genetic screening with lipid profiling and multimodal imaging may enable the early identification of subclinical atherosclerosis in young women with familial hypercholesterolemia, thereby supporting the initiation of more intensive therapy before ischemia develops.

Indexed as

acute myocardial infarctionfamilial hypercholesterolemiagenetic cascade

Identifiers

PMID41677491
PMCPMC13008551

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.