Introduction. This study was done in order to evaluate the effect of serum levels of total cholesterol, triglycerides, low-density lipoprotein-cholesterol and high-density lipoprotein-cholesterol on 10-year coronary heart disease risk distribution change. Material and Methods. This study included 110 subjects of both genders (71 female and 39 male), aged 29 to 73, treated at the Outpatient Department of Atherosclerosis Prevention, Centre for Laboratory Medicine, Clinical Centre Vojvodina. The 10-year coronary heart disease risk was estimated on first examination and after one-year treatment by means of Framingham, PROCAM and SCORE coronary risk scores and their modifications (Framingham Adult Treatment Panel III, Framingham Weibul, PRO-CAM NS and PROCAM Cox Hazards). Age, gender, systolic and diastolic blood pressure, smoking, positive family history and left ventricular hypertrophy are risk factors involved in the estimation of coronary heart disease besides lipid parameters. Results. There were no significant differences in nutritional status, smoking habits, systolic and diastolic pressure, and no development of diabetes mellitus or cardiovascular incidents during oneyear follow. However, a significant reduction in cholesterol level (p<0.001), triglycerides (p<0.001), low-density lipoprotein cholesterol (p<0.001) and an increase in high-density lipoprotein cholesterol (p<0.02) was present although therapeutic target values were not achieved. In addition, a significant increase was observed in the category of low 10-year coronary heart disease risk (Framingham-p<0.001; Framingham ATP III-p<0.001; Framingham Weibul-p<0.001; PROCAM-p<0.05; PROCAM NS-p<0.05; PROCAM Cox Hazards-p<0.001; SCORE-p<0.001) and a reduction in high-risk category (Framingham-p<0.001; Framingham ATP III-p<0.005; Framingham Weibul-p<0.005; PRO-CAM-p<0.001; PROCAM NS-p<0.001; PROCAM Cox Hazards-p<0.001; SCORE-p<0.005) in comparison with the risk at the beginning of the study. Conclusion. Our results show that the correction of lipid level after one-year treatment leads to a significant redistribution of 10-year coronary heart disease risk estimated by means of seven different coronary risk scores. This should stimulate patients and doctors to persist in prevention measures.
SažetakUvod. Ovo istraživanje izvedeno je sa ciljem ispitivanja uticaja promena serumskih koncentracija ukupnog holesterola, triglicerida, holesterola u lipoproteinima male gustine i holesterola u proteinima velike gustine na promenu distribucije 10-godišnjeg rizika za koronarnu bolest srca. Materijal i metode. U ispitivanje je uključeno 110 ispitanika, 71 žena i 39 muškaraca, starosti 29−73 godine, upućenih u Ambulantu za prevenciju ateroskleroze Centra za laboratorijsku medicinu Kliničkog centra Vojvodine. Procena 10-godišnjeg koronarnog rizika vršena je bazalno i nakon godinu dana lečenja pomoću Framingamskog, PROCAM i SCORE bodovnog sistema i njihovih modifikacija (Framingham ATP III, Framingham Weibul, PROCAM NS i PROCAM Cox Hazards). Pored parametara lipidskog status...