Exploring the correlation between triglyceride levels and atherosclerotic cardiovascular disease prevalence in adults with familial hypercholesterolemia: Insights from a cross-sectional analysis in the HELLAS-FH registry.

IF 3.6 3区 医学 Q2 PHARMACOLOGY & PHARMACY
Panagiotis Anagnostis, Christos V Rizos, George Liamis, Loukianos Rallidis, Ioannis Skoumas, Genovefa Kolovou, Konstantinos Tziomalos, Emmanouil Skalidis, Anastasia Garoufi, Vasileios Kotsis, Michalis Doumas, George Sfikas, Vaia Lambadiari, Georgia Anastasiou, Ermioni Petkou, Estela Kiouri, Κonstantinos A Papathanasiou, Ioanna Dima, Vana Kolovou, Evangelos Zacharis, Christina Antza, Chrysoula Boutari, Charalambos Koumaras, Amalia Boufidou, Haralampos Milionis, Evangelos Liberopoulos
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Abstract

Background: High triglyceride (TG) levels are associated with increased atherosclerotic cardiovascular disease (ASCVD) risk in the general population. Yet, the role of TG in familial hypercholesterolemia (FH) remains understudied. This research aims to evaluate the link between TG levels and ASCVD prevalence in adult patients with FH.

Methods: This cross-sectional analysis, derived from the Hellenic Familial Hypercholesterolemia Registry (HELLAS-FH), involves categorizing patients into tertiles based on their TG concentrations.

Results: In our study of 1772 adults with heterozygous FH (HeFH), aged 51 ± 15 years at registration and diagnosed at 44 ± 16 years, TG concentrations in the 1st (80 mg/dL), 2nd (124 mg/dL), and 3rd (200 mg/dL) tertiles revealed varying ASCVD prevalence (18.0%, 28.5% and 28.5%, respectively). Adjusted for ASCVD risk factors, TGs ≥116 mg/dL were linked to higher ASCVD risk than levels <116 mg/dL (OR: 1.37, 95% CI 1.05-1.80, P = .02).

Conclusions: A notable association with ASCVD is evident in FH patients, even at relatively low TG levels, starting from 116 mg/dL (1.31 mmol/L).

背景:在普通人群中,高甘油三酯(TG)水平与动脉粥样硬化性心血管疾病(ASCVD)风险增加相关。然而,甘油三酯在家族性高胆固醇血症(FH)中的作用仍未得到充分研究。本研究旨在评估成年FH患者TG水平与ASCVD患病率之间的关系。方法:这项横断面分析来自希腊家族性高胆固醇血症登记处(HELLAS-FH),包括根据患者的TG浓度将患者分为四组。结果:在我们的研究中,1772名患有杂合性FH (HeFH)的成年人,年龄为51 ± 15岁,登记时为44 ± 16岁,TG浓度在1分位(80 mg/dL), 2分位(124 mg/dL)和3分位(200 mg/dL)显示不同的ASCVD患病率(分别为18.0%,28.5%和28.5%)。经ASCVD危险因素调整后,TG≥116 mg/dL与ASCVD风险相关。结论:FH患者与ASCVD显著相关,即使TG水平相对较低,从116 mg/dL(1.31 mmol/L)开始。
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来源期刊
CiteScore
7.00
自引率
6.80%
发文量
209
审稿时长
49 days
期刊介绍: Because the scope of clinical lipidology is broad, the topics addressed by the Journal are equally diverse. Typical articles explore lipidology as it is practiced in the treatment setting, recent developments in pharmacological research, reports of treatment and trials, case studies, the impact of lifestyle modification, and similar academic material of interest to the practitioner. Sections of Journal of clinical lipidology will address pioneering studies and the clinicians who conduct them, case studies, ethical standards and conduct, professional guidance such as ATP and NCEP, editorial commentary, letters from readers, National Lipid Association (NLA) news and upcoming event information, as well as abstracts from the NLA annual scientific sessions and the scientific forums held by its chapters, when appropriate.
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