Hyperlipemia and hyperlipoproteinemia [HLP] screening among the children from premature myocardial infarction risk families.

Acta paediatrica Hungarica Pub Date : 1991-01-01
A László, M Németh, I Petheö, Z Joó, Z Kovács, T Fazekas, M Högye, L Salgó, E Horváth, F Szarvas
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Abstract

Serum lipids and lipoproteins were investigated in the premature myocardial infarction (PMI) risk families before 45 years of age with the aid of screening for hyperlipemia and hyperlipoproteinemia (HLP): in the case of 174 persons from Csongrád County from the Departments of Internal Medicine I and II and of 42 patients (fathers) suffering from PMI and their 79 "high risk" children from Heves County. In the investigated three groups of "high risk" children the genetically determined antiatherogenic HDL-Ch level diminished in 34.8, 52.3, 40.5 per cent. Significant negative correlation was detected between the serum HDL-Ch and beta-lipoprotein; significant positive correlations were found between the HDL-Ch and the serum lipase activity; between the beta-lipoprotein and the phospholipid level; significant negative correlation was proved between the HDL-Ch and the phospholipid level in the group of PMI patients and their offsprings. The Ch/Tg, and the HDL-Ch ratios were significantly diminished in the PMI patients' group against the risk children' group, while the Ch/HDL-Ch rate was significantly elevated.

早发性心肌梗死高危家庭儿童高脂血症和高脂蛋白血症的筛查
采用高脂血症和高脂蛋白血症(HLP)筛查方法,对45岁以下早发性心肌梗死(PMI)高危家庭的血脂和脂蛋白进行了调查:来自Csongrád县内科一科和内科二科的174人,以及来自Heves县的42名早发性心肌梗死(PMI)患者(父亲)及其79名“高危”儿童。在调查的三组“高风险”儿童中,遗传决定的抗动脉粥样硬化HDL-Ch水平分别降低了34.8%,52.3%和40.5%。血清HDL-Ch与β脂蛋白之间存在显著的负相关;HDL-Ch与血清脂肪酶活性呈显著正相关;-脂蛋白和磷脂水平之间;PMI患者及其后代HDL-Ch与磷脂水平呈显著负相关。与危险儿童组相比,PMI患者组Ch/Tg和HDL-Ch比值显著降低,而Ch/HDL-Ch比值显著升高。
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