Hypertriglyceridemia

Hypertriglyceridemia is the presence of high amounts of triglycerides in the blood. Triglycerides are the most abundant fatty molecule in most organisms. Hypertriglyceridemia occurs in various physiologic conditions and in various diseases, and high triglyceride levels are associated with atherosclerosis, even in the absence of hypercholesterolemia (high cholesterol levels) and predispose to cardiovascular disease.

Hypertriglyceridemia
Other namesElevated levels of triglycerides
Blood samples of a young patient with extreme hypertriglyceridemia
SpecialtyEndocrinology
ComplicationsHeart disease, pancreatitis
Risk factorsNon-alcoholic fatty liver disease, atherosclerosis, alcoholism, metabolic syndrome
Differential diagnosisHyperlipidemia, atheroma, hypercholesterolemia, hypercalcemia

Chronically elevated serum triglyceride levels are a component of metabolic syndrome and non-alcoholic fatty liver disease (NAFLD), both of which typically involve obesity and contribute significantly to cardiovascular mortality in industrialised countries as of 2021. Extreme triglyceride levels also increase the risk of acute pancreatitis.

Hypertriglyceridemia itself is usually symptomless, although high levels may be associated with skin lesions known as xanthomas.

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