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The very high cardiovascular risk in heterozygous familial ă hypercholesterolemia: Analysis of 734 French patients

Author

Listed:
  • Sophie Béliard

    (NORT - Nutrition, obésité et risque thrombotique - INRA - Institut National de la Recherche Agronomique - AMU - Aix Marseille Université - INSERM - Institut National de la Santé et de la Recherche Médicale)

  • Aurélie Millier

    (Creativ-Ceutical - Creativ-Ceutical SARL)

  • Valérie Carreau

    (CHU Pitié-Salpêtrière [AP-HP] - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - SU - Sorbonne Université)

  • Alain Carrié

    (CHU Pitié-Salpêtrière [AP-HP] - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - SU - Sorbonne Université)

  • Philippe Moulin
  • Alexandre Fredenrich

    (NICE - Endocrino - Service de Diabétologie-Endocrinologie - CHU Nice - Centre Hospitalier Universitaire de Nice)

  • Michel Farnier
  • Gérald Luc

    (Service de Médecine Interne - PRES Université Lille Nord de France - CHRU Lille - Centre Hospitalier Régional Universitaire [CHU Lille])

  • David Rosenbaum

    (LIB - Laboratoire d'Imagerie Biomédicale [Paris] - UPMC - Université Pierre et Marie Curie - Paris 6 - INSERM - Institut National de la Santé et de la Recherche Médicale - CNRS - Centre National de la Recherche Scientifique)

  • Mondher Toumi

    (Pharmaco-Epidémiologie - Université Bordeaux Segalen - Bordeaux 2 - INSERM - Institut National de la Santé et de la Recherche Médicale)

  • Eric Bruckert

    (ICAN - Unité de Recherche sur les Maladies Cardiovasculaires, du Métabolisme et de la Nutrition = Research Unit on Cardiovascular and Metabolic Diseases - UPMC - Université Pierre et Marie Curie - Paris 6 - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - INSERM - Institut National de la Santé et de la Recherche Médicale - CHU Pitié-Salpêtrière [AP-HP] - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - SU - Sorbonne Université, CHU Pitié-Salpêtrière [AP-HP] - AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP) - SU - Sorbonne Université)

  • French Fh Registry Grp

Abstract

BACKGROUND: Heterozygous familial hypercholesterolemia (heFH) is a ă genetic disease causing high levels of low-density lipoprotein ă cholesterol (LDL-C). Although this population is at high cardiovascular ă (CV) risk, the risk is variable within patients depending on additional ă risk factors. CV disease risk groups have been defined by the Nouvelle ă Societe Francophone d'Atherosclerose (NSFA) and by the National Lipid ă Association recommendations. ă OBJECTIVES: The study aimed to describe a sample of French heFH ă patients, comparing patients at very high risk (VHR) and patients at ă high risk in terms of demographic and clinical characteristics as well ă as biological measurements and disease management. ă METHODS: Cross-sectional retrospective analysis on 734 patients ă hospitalized after 2005 in 5 academic centers. ă RESULTS: When considering NSFA classification, 550 (74.9%) patients ă belonged to the VHR group. Most patients in the VHR group presented more ă than 1 risk factor, the most prevalent ones being Lp(a) > 50 mg/dL and ă smoking. Patients in the VHR group were older (50.6 vs 45.0 years old, P ă =.0002), and presented a higher body mass index (25.5 kg/m(2) vs 23.3 ă kg/m(2), P

Suggested Citation

  • Sophie Béliard & Aurélie Millier & Valérie Carreau & Alain Carrié & Philippe Moulin & Alexandre Fredenrich & Michel Farnier & Gérald Luc & David Rosenbaum & Mondher Toumi & Eric Bruckert & French Fh R, 2016. "The very high cardiovascular risk in heterozygous familial ă hypercholesterolemia: Analysis of 734 French patients," Post-Print hal-01482351, HAL.
  • Handle: RePEc:hal:journl:hal-01482351
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