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St. John Pediatrics - Lipid Disorders (Cholesterol)

St. John Pediatric Lipid Clinic

Managing cholesterol issues used to be only for the adult population. But physicians are now seeing very high (and some very low) total cholesterol labs in children as young as four years old.

According to James Maciejko, MSc, PhD, a lipidologist at St. John Providence Children’s Hospital, abnormal cholesterol levels in children can be a result of genetics.

“Genes load the gun, and lifestyle pulls the trigger,” said Dr. Maciejko. “If we can catch this problem early, we can introduce dietary and other healthy changes that will positively impact these children.”

Left unchecked, children with abnormally high cholesterol are at risk for heart disease and possible heart attacks in their 30s and 40s. Those with abnormally low cholesterol could have vitamin deficiencies, of which the most common are Vitamins A, D, E, and K.

Dr. Maciejko and Dr. Premchand Anne, a St. John Providence Children’s Hospital pediatric cardiologist, have teamed up to offer the St. John Pediatric Lipid Clinic, located at St. John Hospital and Medical Center.

Appointments to the lipid clinic are available on a referral basis from the patient’s primary care physician. The American Academy of Pediatrics recommends a fasting lipid profile screening for many children after the age of two years. If the results are abnormal, the physician can make the decision to refer to the Pediatric Lipid Clinic for evaluation and management. Additional lab work may be required via the primary care physician before the patient goes to the Clinic, where they are seen by both Drs. Maciejko and Anne. Appointments last about 30 minutes and include a comprehensive evaluation and treatment plan.

“Prevention of early onset atherosclerotic disease and other co-morbidities should start in childhood, especially in those with genetic causes. Life style modification, including exercise and diet changes, should include not only the child but also the entire family,” said Dr. Anne.

Sometimes, parents will simply need to be much more cognizant of their child’s intake, to avoid future damage. Some patients will require vitamin supplementation. Still others, who inherit genes that keep their body from “getting rid” of cholesterol, will require cholesterol-lowering medication.

To make an appointment at the St. John Pediatric Lipid Clinic, please speak with your children’s pediatrician or primary care physician, or call 313-343-6840.

Our Doctors

James MaciejkoJames Maciejko
Dr. James Maciejko is a lipidologist who provides care for both adult and pediatric patients who have any issues with abnormal high or low cholesterol and/or triglyceride. Dr. Maciejko has a rich history of clinical research in the area of lipoprotein metabolism, atherogenesis, obesity and cardiovascular disease prevention. In addition, he is a sought-after educator on the topic of lipidology. 

After completing a fellowship in lipidology at the Mayo Clinic in 1983, Dr. Maciejko joined the staff of Pfizer Central Research and the faculty of Yale University School of Medicine. Following these appointments he became director of the Center for Lipid Metabolism and Atherosclerosis at Sinai Hospital of Detroit, and Associate Professor of Internal Medicine at Wayne State University School of Medicine (1986). In 2000, he became Director of the Preventive Cardiology Program at SJH&MC and Director of the system’s Lipid Laboratory, which is certified by the National Heart, Lung and Blood Institute and the Centers for Disease Control Lipid Standardization Program. After briefly serving as Director of the Clinical Research Center for the Beaumont Health System, he returned to SJH&MC as Director of Lipid Clinic services and Director of the Childhood Obesity Program.

He has received numerous research grants and awards from the American Heart Association (AHA), the National Institutes of Health, and the pharmaceutical and biotechnology industries. He has published widely in leading scientific journals and is the author of two books, The ABC’s of Coronary Heart Disease (2001) and Atherosclerosis Risk Factors (2004). Dr. Maciejko is a fellow of the American College of Cardiology and the Council of Arteriosclerosis, Thrombosis and Vascular Biology of the AHA. He is a member of the National Lipid Association and the AHA’s Council on Nutrition, Physical Activity and Metabolism. He served as Chairman of the Lipoprotein and Vascular Diseases Division of the American Association of Clinical Chemistry in 2001.

Premchand Anne, MD
Hospital Privileges: St. John Hospital and Medical Center, St. John Macomb-Oakland Hospital
Dr. Premchand Anne is board-certified in Pediatric Cardiology, Pediatrics, and Internal Medicine, and graduated from Wayne State University School of Medicine in Detroit, Michigan. He completed his residency in Internal Medicine/Pediatrics, and his fellowship in Pediatric Cardiology at Children's Hospital of Michigan and Wayne State University. Dr. Anne is an Assistant Clinical Professor of Pediatrics at Wayne State University School of Medicine and Michigan State University College of Osteopathic Medicine. He is a Fellow of the American College of Cardiology and a member of the American Heart Association. He has special interests in treating children and adults with congenital heart defects, and acquired heart disease, including children with lipid problems. He also cares for patients requiring non-invasive pediatric and adult congenital cardiac imaging and fetal echocardiograms. In 2011 and 2012, Dr Anne was named by his peers as one of the "Top Docs" in the Metro Detroit area by Hour Detroit Magazine.


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