The prevalence and treatment patterns of familial hypercholesterolemia among Thai patients with premature coronary artery disease.

OBJECTIVES: Familial hypercholesterolemia (FH) is an autosomal dominant genetic disorder that is characterized by severe hypercholesterolemia. The prevalence of FH in Thailand has not been reported. Therefore, this study aimed to investigate the prevalence of FH and treatment patterns among Thai patients with premature coronary artery disease (pCAD). METHODS: A total of 1,180 pCAD patients at two heart centers from northeastern and southern Thailand between October 2018 and September 2020 were enrolled. FH was diagnosed using the Dutch Lipid Clinic Network (DLCN) criteria. pCAD was diagnosed in men aged < 55 years and women aged < 60 years. RESULTS: The prevalence of definite/probable FH, possible FH, and unlikely FH in pCAD patients was 1.36% (n = 16), 24.83% (n = 293), and 73.81% (n = 871), respectively. Definite/probable FH in pCAD patients had a significantly higher frequency of STEMI but a lower frequency of hypertension than those with unlikely FH. After discharge, most pCAD patients (95.51%) received statin therapy. Definite/probable FH patients had a higher frequency of high-intensity statin therapy than those with possible FH and unlikely FH. After follow-up for 3-6 months, approximately 54.72% of pCAD patients with DLCN scores ≥ 5 had a reduction in LDL-C > 50% from baseline. CONCLUSIONS: The prevalence of definite/probable FH, particularly possible FH, was high among pCAD patients in this study. The early diagnosis of FH among Thai pCAD patients should be performed for the early treatment and prevention of CAD.

Acetylcholinesterase modified inkjet-printed graphene/gold nanoparticle/poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate) hybrid electrode for ultrasensitive chlorpyrifos detection.

This study successfully created a portable acetylcholinesterase sensor on a printed hybrid electrode capable of detecting chlorpyrifos in the field. While a screen-printed electrode was chosen herein to enable a single-use and portable platform for the in-field application, the hybrid material was incorporated to ensure ultrasensitive detection at lower electrode potentials. The hybrid ink of gold nanoparticles (AuNPs) decorated on graphene (GP) sheets in poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate) (PEDOT:PSS) was synthesized through a simple completely-green one-pot process. The subsequent characterization was carried out via transmission electron microscopy (TEM), X-ray diffraction (XRD), scanning electron microscopy (SEM), and Fourier-transform infrared spectroscopy (FTIR). The synergy resulting from the greater surface area and enhanced transfer of electrons combined with high levels of electrocatalytic activity and superb conductivity offered by GP, AuNP, and PEDOT:PSS allows the sensor to exhibit ultrasensitive chlorpyrifos detection at the relatively low detection limit of 0.07 nM. The sensor demonstrated in this study also exhibits good reproducibility, desirable stability, and a successful application for the real sample with satisfactory recovery results of around 106 %, indicating its potential for use as a tool in the analysis of pesticides.