Episode 174

Familial Hypercholesterolaemia in Children: Insights from Dr Andrew Martin

In this episode of The Good GP, host Rebecca Goadby interviews Dr Andrew Martin, a consultant paediatrician at Perth Children's Hospital and an expert in paediatric lipid disorders. Dr Martin has led a paediatric lipid disorders clinic for the past 15 years, specialising in the detection and management of children and adolescents with familial hypercholesterolemia (FH) to prevent coronary artery disease.

Dr Martin explains what FH is and discusses its prevalence in children. Sharing that around 20,000 children under the age of 16 are affected by FH in Australia, and emphasises the genetic nature of this condition, highlighting its autosomal dominant inheritance pattern.

They then shift to the critical role GPs can play in diagnosing FH in children. He notes that most children are diagnosed following the identification of an adult index case in their family and underscores the importance of cascade genetic testing, which GPs can facilitate using a Medicare Benefits Schedule (MBS) item number.

Elaborating on the management strategies for FH in children, starting with heart-healthy lifestyle changes and progressing to pharmacological interventions, primarily statins, from the ages of 8 to 10. He highlights that early intervention with statins can significantly reduce the risk of future coronary events.

Additionally, Dr Martin describes the forthcoming launch of FH Australia, a national peak body aimed at supporting individuals and families with FH. Explaining that this organisation will provide resources, education, and advocacy, serving as a valuable resource for both patients and healthcare professionals.

The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network

If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com

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About your hosts

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Tim Koh

Dr. Tim Koh is a General Practitioner and practice owner based in Perth, Australia, with over 20 years of experience. Throughout his career, Tim has been continuously involved in GP education and teaching GP registrars. As the host of The Good GP podcast, Tim provides expert insights and practical advice for GPs and other health professionals. Passionate about evidence-based medicine and teaching in general practice, Tim addresses a wide range of topics relevant to primary care, keeping listeners informed about the latest issues affecting the field.
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Krystyna de Lange

Dr Krystyna de Lange is co-host of The Good GP and dedicated General Practitioner with nine years of experience in primary care in Australia. Passionate about the full spectrum of medicine, she thrives on the opportunity to support her patients’ diverse health needs. She has a specific interest in the areas of Aboriginal and Torres Strait Islander health, womens health and chronic disease management.

Since joining The Good GP podcast team in 2019, her goal has been to empower fellow practitioners with the latest insights, best practices, and valuable discussions on essential health topics. With her approachable style and deep commitment to community health, she fosters an engaging environment that encourages learning and collaboration.
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Sean Stevens

Dr Sean Stevens, a seasoned General Practitioner with 27 years of experience, is a pioneer in medical education and podcasting. As one of the founding voices of The Good GP Podcast since 2016, he has personally contributed to over 60 episodes of their 170+ episode catalogue, sharing invaluable insights with the medical community. Recognised as Australian GP Supervisor of the Year, Sean combines his passion for education with a commitment to embracing new technologies. He is dedicated to empowering fellow GPs and promoting quality care in general practice.