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对有心肌梗死风险的早产家庭儿童进行高脂血症和高脂蛋白血症筛查。

Hyperlipemia and hyperlipoproteinemia [HLP] screening among the children from premature myocardial infarction risk families.

作者信息

László A, Németh M, Petheö I, Joó Z, Kovács Z, Fazekas T, Högye M, Salgó L, Horváth E, Szarvas F

机构信息

Department of Paediatrics, Med. Univ., Szeged.

出版信息

Acta Paediatr Hung. 1991;31(3):305-19.

PMID:1742046
Abstract

Serum lipids and lipoproteins were investigated in the premature myocardial infarction (PMI) risk families before 45 years of age with the aid of screening for hyperlipemia and hyperlipoproteinemia (HLP): in the case of 174 persons from Csongrád County from the Departments of Internal Medicine I and II and of 42 patients (fathers) suffering from PMI and their 79 "high risk" children from Heves County. In the investigated three groups of "high risk" children the genetically determined antiatherogenic HDL-Ch level diminished in 34.8, 52.3, 40.5 per cent. Significant negative correlation was detected between the serum HDL-Ch and beta-lipoprotein; significant positive correlations were found between the HDL-Ch and the serum lipase activity; between the beta-lipoprotein and the phospholipid level; significant negative correlation was proved between the HDL-Ch and the phospholipid level in the group of PMI patients and their offsprings. The Ch/Tg, and the HDL-Ch ratios were significantly diminished in the PMI patients' group against the risk children' group, while the Ch/HDL-Ch rate was significantly elevated.

摘要

借助高脂血症和高脂蛋白血症(HLP)筛查,对45岁之前的早发性心肌梗死(PMI)风险家族中的血清脂质和脂蛋白进行了研究:研究对象包括来自琼格拉德县内科第一和第二科室的174人,以及来自赫维什县的42例患有PMI的患者(父亲)及其79名“高危”子女。在三组被调查的“高危”儿童中,遗传决定的抗动脉粥样硬化HDL-Ch水平分别降低了34.8%、52.3%和40.5%。血清HDL-Ch与β-脂蛋白之间存在显著的负相关;HDL-Ch与血清脂肪酶活性之间、β-脂蛋白与磷脂水平之间存在显著的正相关;在PMI患者及其后代组中,HDL-Ch与磷脂水平之间存在显著的负相关。与高危儿童组相比,PMI患者组的Ch/Tg和HDL-Ch比率显著降低,而Ch/HDL-Ch比率显著升高。

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