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接受治疗的家族性高胆固醇血症患者和严重高甘油三酯血症患者的心血管风险。

Cardiovascular risk in patients with treated familial hypercholesterolaemia and patients with severe hypertriglyceridaemia.

作者信息

Way B P, Ball M J, Thorogood M, Cobbe S M, Mann J I

出版信息

J R Soc Med. 1986 Jul;79(7):391-4. doi: 10.1177/014107688607900705.

DOI:10.1177/014107688607900705
PMID:3746800
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1290375/
Abstract

A study was performed to determine the morbidity and mortality from ischaemic heart disease (IHD) in patients with heterozygous familial hypercholesterolaemia (FH) and severe hypertriglyceridaemia (pretreatment plasma triglyceride greater than 5 mmol/l). Twenty-nine (38%) of 76 patients with FH and 8(44%) of 18 patients with hypertriglyceridaemia had evidence of IHD. Over a mean follow-up period of 5.5 years, 2 patients with hypertriglyceridaemia died but there were no deaths in patients with FH. This contrasts with earlier reports which showed a high mortality in FH patients. The lower mortality may be due to improved treatment and consequent lower levels of cholesterol.

摘要

一项研究旨在确定杂合子家族性高胆固醇血症(FH)和严重高甘油三酯血症(治疗前血浆甘油三酯大于5 mmol/L)患者缺血性心脏病(IHD)的发病率和死亡率。76例FH患者中有29例(38%),18例高甘油三酯血症患者中有8例(44%)有IHD证据。在平均5.5年的随访期内,2例高甘油三酯血症患者死亡,但FH患者无死亡病例。这与早期报告显示FH患者高死亡率形成对比。死亡率较低可能归因于治疗改善及随之降低的胆固醇水平。

相似文献

1
Cardiovascular risk in patients with treated familial hypercholesterolaemia and patients with severe hypertriglyceridaemia.接受治疗的家族性高胆固醇血症患者和严重高甘油三酯血症患者的心血管风险。
J R Soc Med. 1986 Jul;79(7):391-4. doi: 10.1177/014107688607900705.
2
Comparison of the risk of fatal coronary heart disease in treated xanthomatous and non-xanthomatous heterozygous familial hypercholesterolaemia: a prospective registry study.经治疗的黄色瘤性与非黄色瘤性杂合子家族性高胆固醇血症患者致命性冠心病风险的比较:一项前瞻性登记研究
Atherosclerosis. 2003 Sep;170(1):73-8. doi: 10.1016/s0021-9150(03)00233-8.
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The 'midband' lipoprotein is a coronary risk factor in Japanese patients with familial hypercholesterolaemia.“中带”脂蛋白是日本家族性高胆固醇血症患者的一种冠状动脉危险因素。
Scand J Clin Lab Invest. 1993 Jul;53(4):335-8. doi: 10.3109/00365519309086624.
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[Musculoskeletal symptoms in patients with primary hyperlipoproteinemia. A prelimary study].[原发性高脂蛋白血症患者的肌肉骨骼症状。一项初步研究]
Tidsskr Nor Laegeforen. 1979 Oct 20;99(29):1444-6.
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Mortality in treated heterozygous familial hypercholesterolaemia: implications for clinical management. Scientific Steering Committee on behalf of the Simon Broome Register Group.经治疗的杂合子家族性高胆固醇血症患者的死亡率:对临床管理的启示。代表西蒙·布鲁姆登记组的科学指导委员会。
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Risk of fatal coronary heart disease in familial hypercholesterolaemia. Scientific Steering Committee on behalf of the Simon Broome Register Group.家族性高胆固醇血症患者发生致命性冠心病的风险。代表西蒙·布鲁姆登记组的科学指导委员会
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[Differential use of diet and drugs in dyslipoproteinemias].[血脂异常中饮食与药物的差异应用]
Klin Med (Mosk). 1985 Jan;63(1):116-20.
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Importance of LDL/HDL cholesterol ratio as a predictor for coronary heart disease events in patients with heterozygous familial hypercholesterolaemia: a 15-year follow-up (1987-2002).低密度脂蛋白/高密度脂蛋白胆固醇比值作为杂合子家族性高胆固醇血症患者冠心病事件预测指标的重要性:一项15年随访研究(1987 - 2002年)
Curr Med Res Opin. 2003;19(2):89-94.

本文引用的文献

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Effect of diet and smoking intervention on the incidence of coronary heart disease. Report from the Oslo Study Group of a randomised trial in healthy men.饮食与吸烟干预对冠心病发病率的影响。奥斯陆健康男性随机试验研究小组的报告。
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Serum cholesterol, lipoproteins, and the risk of coronary heart disease. The Framingham study.血清胆固醇、脂蛋白与冠心病风险。弗雷明汉姆研究。
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Rapid method for the isolation of lipoproteins from human serum by precipitation with polyanions.通过用聚阴离子沉淀从人血清中分离脂蛋白的快速方法。
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The risk of atherosclerotic vascular disease in subjects with xanthomatosis.患有黄瘤病的受试者发生动脉粥样硬化性血管疾病的风险。
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Lipoprotein fractionation by a precipitation method. A simple quantitative procedure.用沉淀法进行脂蛋白分级分离。一种简单的定量方法。
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