Carotid atherosclerosis in familial hypercholesterolemia.

Author:

Postiglione A,Rubba P,De Simone B,Patti L,Cicerano U,Mancini M

Abstract

Common and internal carotids have been studied by noninvasive method (echo-Doppler) in 30 normotensive patients with familial hypercholesterolemia (FH). Vascular lesions were detected in 14 patients (46%), who presented one or more lesions of different degree (between 1-15% and 16-49%). In one case, only one carotid had stenosis greater than 50%. Severity and number of stenosis were related to age and levels of hypercholesterolemia. FH patients with carotid lesions showed a significantly higher LDL-cholesterol (p less than 0.01) and plasma apolipoprotein B (p less than 0.001) concentrations and a significantly lower HDL-cholesterol (p less than 0.05) and plasma apolipoprotein A (p less than 0.001) levels as compared to those with normal echo-Doppler findings. These data indicate that investigation of arterial districts other than coronaries are useful in quantitative evaluation of atherosclerotic involvement.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Advanced and Specialized Nursing,Cardiology and Cardiovascular Medicine,Neurology (clinical)

Reference15 articles.

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4. Slack J: Risk of ischemic heart disease in familial hyperlipoproteinemic states. Lancet ii: 1380-1382 1969

5. Patterson D Slack J: Lipid abnormalities in male and female survivors of myocardial infarction and first-degree relatives Lancet i: 393-399 1972

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