Achilles tendon thickness and ischemic heart disease in familial hypercholesterolemia

Achilles tendon thickness (ATT) of 112 patients with familial hypercholesterolemia (FH) with and without ischemic heart disease (IHD) was measured radiographically and was compared with that of normal subjects. The mean and SD of serum cholesterol in the heterozygotes (107 cases), the homozygotes (5...

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Veröffentlicht in:Metabolism, clinical and experimental clinical and experimental, 1978-11, Vol.27 (11), p.1672-1679
Hauptverfasser: Mabuchi, H., Tatami, R., Haba, T., Ueda, K., Ueda, R., Ito, S., Karnetani, T., Koizurni, J., Miyarnoto, S., Ohta, M., Takeda, R., Takegoshi, T., Takeshita, H.
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container_end_page 1679
container_issue 11
container_start_page 1672
container_title Metabolism, clinical and experimental
container_volume 27
creator Mabuchi, H.
Tatami, R.
Haba, T.
Ueda, K.
Ueda, R.
Ito, S.
Karnetani, T.
Koizurni, J.
Miyarnoto, S.
Ohta, M.
Takeda, R.
Takegoshi, T.
Takeshita, H.
description Achilles tendon thickness (ATT) of 112 patients with familial hypercholesterolemia (FH) with and without ischemic heart disease (IHD) was measured radiographically and was compared with that of normal subjects. The mean and SD of serum cholesterol in the heterozygotes (107 cases), the homozygotes (5 cases) and the normal subjects (36 cases) were 347 ± 63, 589 ± 69 and 187 ± 30 mg/dl, respectively. The mean and SEM of ATT in the heterozygotes, the homozygotes and the normal subjects were 12.5 ± 0.4 mm, 18.6 ± 6.6 mm, and 6.3 ± 0.2 mm, respectively. Cutaneous xanthomas were observed in 34 out of 112 patients (30.4%). Increased ATT was observed in 95 (84.8%). IHD was diagnosed in 39 (34.8%). The ATT of FH with IHD was significantly thicker than that of FH without IHD ( p < 0.05) and that of normal subjects ( p < 0.001). Thus, the increased ATT evaluated by x-ray was the earliest clinical sign of FH and the measurement of ATT seems to be a useful adjunctive procedure for detecting familial hypercholesterolemic patients and predicting IHD in them.
doi_str_mv 10.1016/0026-0495(78)90289-5
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The mean and SD of serum cholesterol in the heterozygotes (107 cases), the homozygotes (5 cases) and the normal subjects (36 cases) were 347 ± 63, 589 ± 69 and 187 ± 30 mg/dl, respectively. The mean and SEM of ATT in the heterozygotes, the homozygotes and the normal subjects were 12.5 ± 0.4 mm, 18.6 ± 6.6 mm, and 6.3 ± 0.2 mm, respectively. Cutaneous xanthomas were observed in 34 out of 112 patients (30.4%). Increased ATT was observed in 95 (84.8%). IHD was diagnosed in 39 (34.8%). The ATT of FH with IHD was significantly thicker than that of FH without IHD ( p &lt; 0.05) and that of normal subjects ( p &lt; 0.001). 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The mean and SD of serum cholesterol in the heterozygotes (107 cases), the homozygotes (5 cases) and the normal subjects (36 cases) were 347 ± 63, 589 ± 69 and 187 ± 30 mg/dl, respectively. The mean and SEM of ATT in the heterozygotes, the homozygotes and the normal subjects were 12.5 ± 0.4 mm, 18.6 ± 6.6 mm, and 6.3 ± 0.2 mm, respectively. Cutaneous xanthomas were observed in 34 out of 112 patients (30.4%). Increased ATT was observed in 95 (84.8%). IHD was diagnosed in 39 (34.8%). The ATT of FH with IHD was significantly thicker than that of FH without IHD ( p &lt; 0.05) and that of normal subjects ( p &lt; 0.001). 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subjects Achilles Tendon - diagnostic imaging
Adult
Aged
Cholesterol - blood
Coronary Disease - complications
Coronary Disease - diagnosis
Heterozygote
Homozygote
Humans
Hypercholesterolemia - complications
Hypercholesterolemia - diagnosis
Hypercholesterolemia - genetics
Middle Aged
Radiography
Triglycerides - blood
Xanthomatosis - complications
title Achilles tendon thickness and ischemic heart disease in familial hypercholesterolemia
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