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总胆固醇和低密度脂蛋白胆固醇血液浓度低的男性患缺血性心脏病死亡风险增加

[An increased risk of death from ischemic heart disease in men with low blood concentrations of total cholesterol and low-density lipoprotein cholesterol].

作者信息

Kalinina A M, Chazova L V, Perova N V, Pavlova L I, Shchepkin V V

出版信息

Ter Arkh. 1993;65(4):27-32.

PMID:8059402
Abstract

A number of epidemiological surveys have recently established that in populations with the lowest levels of total cholesterol (TC) and LDL cholesterol (LDLC) death rates grow due to both malignant and cardiovascular diseases. The results of a detailed study on multifactor prevention of coronary heart disease (CHD) in an open population of Moscow males aged 40-59 to elucidate the relations between TC, HDL cholesterol, LDLC and CHD mortality demonstrated that low levels of TC are markers, but not a factor of CHD and sudden death risk in low-educated subjects free of CHD symptoms. When planning mass measures to primarily prevent CHD, subjects with low cholesterol levels should be given a special care as well as those with hypercholesterolemia.

摘要

最近一些流行病学调查证实,在总胆固醇(TC)和低密度脂蛋白胆固醇(LDLC)水平最低的人群中,恶性肿瘤和心血管疾病导致的死亡率在上升。一项针对莫斯科40 - 59岁男性开放人群冠心病(CHD)多因素预防的详细研究结果,旨在阐明TC、高密度脂蛋白胆固醇(HDL - C)、LDLC与CHD死亡率之间的关系,结果表明,低TC水平是无症状CHD的低教育程度受试者中CHD和猝死风险的标志物,但并非一个影响因素。在规划主要预防CHD的大规模措施时,胆固醇水平低的受试者应与高胆固醇血症患者一样得到特别关注。

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