Stroke, Vol 16, 658-661, Copyright © 1985 by American Heart Association
A Postiglione, P Rubba, B De Simone, L Patti, U Cicerano and M Mancini
Common and internal carotids have been studied by noninvasive method
(echo-Doppler) in 30 normotensive patients with familial
hypercholesterolemia (FH). Vascular lesions were detected in 14 patients
(46%), who presented one or more lesions of different degree (between 1-15%
and 16-49%). In one case, only one carotid had stenosis greater than 50%.
Severity and number of stenosis were related to age and levels of
hypercholesterolemia. FH patients with carotid lesions showed a
significantly higher LDL-cholesterol (p less than 0.01) and plasma
apolipoprotein B (p less than 0.001) concentrations and a significantly
lower HDL-cholesterol (p less than 0.05) and plasma apolipoprotein A (p
less than 0.001) levels as compared to those with normal echo-Doppler
findings. These data indicate that investigation of arterial districts
other than coronaries are useful in quantitative evaluation of
atherosclerotic involvement.
ARTICLES
Carotid atherosclerosis in familial hypercholesterolemia
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