Familial hypercholesterolemia in very young myocardial infarction

Autor: Na-Qiong Wu, Xiao-Lin Li, Sha Li, Ping Qing, Jian-Jun Li, Yuan-Lin Guo, Xiong-Yi Gao, Yan Zhang, Cheng-Gang Zhu, Geng Liu, Chuan-Jue Cui, Hui-Wen Zhang, Qian Dong, Jing Sun, Rui-Xia Xu, Xi Zhao, Ying Gao, Di Sun
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Scientific Reports, Vol 8, Iss 1, Pp 1-8 (2018)
ISSN: 2045-2322
Popis: Familial hypercholesterolemia (FH) is one of the most common causes of premature myocardial infarction (MI). However, The patterns of FH remained unrecognized in clinical care, especially in very young patients (VYPs, ≤35 years) with MI. The present study enrolled a total of 1,093 VYPs (≤35 years) presenting a first MI. Clinical diagnosis of FH was made using Dutch Lipid Clinic Network criteria. Coronary severity was assessed by Gensini score (GS). Patients were followed for a median of 40-months with cardiac death, stroke, MI, post-discharge revascularization or unstable angina as primary endpoints. The detected rates of definite/probable FH were 6.5%. The prevalence reached up to 10.3% in patients ≤25 years. The FH had similar levels of comorbidities but was younger, more likely to be very high risk (VHR) and had higher GS (p
Databáze: OpenAIRE
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