Atherosclerosis as a pediatric problem

Atherosclerosis, most frequently manifested as coronary heart disease, is the major health concern in the United States. This disease of adulthood has its origins in infancy and childhood. Genetically determined lipid abnormalities account for a distinct but small segment of highly susceptible persons. Early detection of such individuals and correction of their lipid defects would appear to be indicated in an effort to delay the atherosclerotic process. Other more common traits also having origins early in life are hypertension, acquired lipid defects, diabetes mellitus, obesity, the smoking habit, and a sedentary way of life. Attention by the pediatrician to the prevention and early treatment of these “defects” is urged.