Hyperlipidemia: Fredrickson Classification
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Questions and Answers

What is Fredrickson's Classification scheme, how many different categories are there, and does this scheme address primary or secondary dyslipidemias?

Fredrickson Classification divides Primary Dyslipidemias into 6 categories labeled as 1, 2a, 2b, 3, 4, 5.

In type 1 Fredrickson classification, what lipoprotein particles are elevated and how does this patient's lipid panel compare to a healthy individual with regards to total cholesterol and triglycerides?

Type 1 Fredrickson is characterized by elevated Chylomicrons. Type 1 patients will have very high serum triglyceride levels but their total cholesterol should be normal.

Type 1 Fredrickson patients will have elevated Total Serum Cholesterol and elevated Triglycerides.

False

A patient with elevated triglycerides, nominal total serum cholesterol, and elevated chylomicrons falls into what category within Fredrickson Classification?

<p>Type 1 dyslipidemia.</p> Signup and view all the answers

Other than dyslipidemia, Fredrickson Type 1 patients have what other associated clinical disorders?

<p>Type 1 patients will have a deficiency in either Lipoprotein Lipase or in Apo-C2.</p> Signup and view all the answers

Deficiency in Lipoprotein Lipase activity or in Apo-C2 are associated with what category on the Fredrickson Classification table?

<p>Type 1 patients.</p> Signup and view all the answers

In type 2a Fredrickson classification, what lipoprotein particles are elevated and how does this patient's lipid panel compare to a healthy individual regarding total cholesterol and triglycerides?

<p>Type 2a Dyslipidemia is characterized by elevated LDL levels. Compared to normal, Type 2 patients will have elevated Total Cholesterol and normal triglyceride levels.</p> Signup and view all the answers

Type 2a Fredrickson patients will have elevated Total Serum Cholesterol and very high Triglycerides.

<p>False</p> Signup and view all the answers

A patient with normal triglycerides, very high total serum cholesterol, and elevated LDL falls into what category within Fredrickson Classification?

<p>Type 2a Dyslipidemia.</p> Signup and view all the answers

Which Fredrickson Classes involve elevated Chylomicron particles in the blood?

<p>Type 1</p> Signup and view all the answers

In terms of lipoprotein particles, how do Fredrickson's Type 2A, Type 2B, and Type 4 compare?

<p>Type 2A is characterized by elevated LDL. Type 4 is characterized by elevated VLDL. Type 2B is a combination of 2A and 4 and is characterized by the presence of elevated LDL &amp; VLDL.</p> Signup and view all the answers

A patient with very high serum cholesterol, elevated triglycerides, in the context of elevated LDL & VLDL falls within which of Fredrickson's Classifications?

<p>Type 2B dyslipidemia.</p> Signup and view all the answers

In type 2B Fredrickson classification, what lipoprotein particles are elevated and how does this patient's lipid panel compare to a healthy individual with regards to total cholesterol and triglycerides?

<p>Type 2B dyslipidemia is characterized by elevated serum LDL &amp; VLDL levels. In the lipid panel, Type 2B patients have very high total cholesterol and elevated TAG levels when compared to the normal range.</p> Signup and view all the answers

What associated clinical disorder, other than dyslipidemia, is common to Fredrickson Type 2A, Type 2B, and Type 4 patients?

<p>Familial Combined Hyperlipidemia.</p> Signup and view all the answers

What Fredrickson's classification is associated with Diabetes?

<p>Type 5 &amp; Type 4 Dyslipidemia.</p> Signup and view all the answers

What clinical disorder is associated with Type 5 dyslipidemia?

<p>Diabetes.</p> Signup and view all the answers

How can you differentiate a Type 4 from a Type 5 dyslipidemia if both conditions have elevated total cholesterol and very high triglyceride levels?

<p>Type 4 dyslipidemia will have these lipid findings in the context of elevated VLDL only. Type 5 dyslipidemia will have these lipid findings in the context of elevated VLDL and elevated chylomicrons.</p> Signup and view all the answers

What are the two most common types of dyslipidemia using Fredrickson Classification?

<p>Type 4 and Type 2B.</p> Signup and view all the answers

Familial Hypertriglyceridemia is a clinical disorder associated with which Fredrickson's class of dyslipidemia?

<p>Type 4 only.</p> Signup and view all the answers

Study Notes

Fredrickson Classification of Dyslipidemias

  • Divides Primary Dyslipidemias into 6 categories: 1, 2a, 2b, 3, 4, 5.
  • Indicates classification primarily for dyslipidemias, not addressing secondary forms.

Type 1 Dyslipidemia

  • Characterized by elevated Chylomicrons.
  • Patients exhibit very high serum triglycerides with normal total cholesterol levels.
  • Associated clinical disorders include deficiencies in Lipoprotein Lipase or Apo-C2.

Type 2a Dyslipidemia

  • Defined by elevated LDL particles.
  • Patients show elevated total serum cholesterol and normal triglyceride levels.
  • Differentiated from Type 1 by the specific rise in LDL while triglycerides remain normal.

Type 2b Dyslipidemia

  • Features elevated LDL and VLDL particles.
  • Patients present with very high total cholesterol and elevated triglyceride levels.
  • Associated with Familial Combined Hyperlipidemia, common in Types 2A, 2B, and 4.

Type 4 Dyslipidemia

  • Characterized by elevated VLDL particles.
  • Associated with Diabetes, alongside Type 5 dyslipidemia.
  • In lipid panels, presents with elevated total cholesterol and very high triglycerides mainly due to VLDL.

Type 5 Dyslipidemia

  • Involves elevated VLDL and Chylomicrons.
  • Also associated with Diabetes, showcasing similar lipid findings as Type 4 but distinguished by the presence of Chylomicrons.

Common Dyslipidemia Types

  • Type 4 and Type 2B are the most prevalent types of dyslipidemia.
  • Familial Hypertriglyceridemia is specifically linked to Type 4 dyslipidemia.

Distinguishing Dyslipidemia Types

  • Type 4 can be differentiated from Type 5 by solely elevated VLDL in Type 4, whereas Type 5 has both elevated VLDL and Chylomicrons.

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Description

This quiz focuses on Fredrickson's Classification of Hyperlipidemia, which categorizes primary dyslipidemias into six distinct types. You'll explore the details of each type, including the specific lipoproteins involved and their impact on lipid panels. Test your understanding of this important classification scheme in the context of clinical implications for lipid management.

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