Jm. Jensen et al., Association of coronary heart disease with age-adjusted aortocoronary calcification in patients with familial hypercholesterolaemia, J INTERN M, 247(4), 2000, pp. 479-484
Citations number
35
Categorie Soggetti
General & Internal Medicine","Medical Research General Topics
Objectives. Existing algorithms of risk of coronary heart disease (CHD) do
not pertain to patients with familial hypercholesterolaemia (FH), whose art
eries have been exposed to hypercholesterolaemia since birth. We studied a
cohort of FH patients to compare four diagnostic models of CHD: traditional
risk factors of CHD (age, sex, cholesterol, hypertension, smoking and body
mass index), cholesterol year score, and aortic as well as coronary calciu
m measured by spiral computed tomography (CT).
Subjects. We invited 88 individuals with molecularly defined FH of whom 80
(91%) decided to participate.
Results. Analysis of receiver operating characteristic curves showed that t
he age-adjusted coronary calcium score was more strongly associated with cl
inical manifestations of CHD than were traditional risk factors (P < 0.002)
, cholesterol year score (P << 0.0001), and the age-adjusted aortic calcium
score (P < 0.0004).
Conclusions. Age-adjusted coronary calcium score shows promise as an indica
tor of CHD in FH patients.