2004
DOI: 10.1097/00019501-200412000-00001
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Exercise testing in asymptomatic patients with heterozygous familial hypercholesterolaemia

Abstract: Lipid and coronary risk factor profiles do not seem to predict exercise-induced myocardial ischaemia in asymptomatic patients with heterozygous FH. However, in this high-risk population for cardiovascular events, fibrinogen levels are an independent predictor of positive ET. The adverse effects of FH on the cardiovascular system may be partly mediated by coagulability factors, whose role in the management of FH patients remains to be fully clarified.

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Cited by 4 publications
(3 citation statements)
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“…December 1, 2015 disease. 78 However, in a larger group of 653 asymptomatic heterozygous FH patients (42% male subjects with an average age of 42 years, 70% using lipid-lowering therapy), a positive stress test was found in 9% of the subjects. 79 Exercise stress tests could also provide prognostic information in asymptomatic heterozygous FH patients.…”
Section: Subclinical Atherosclerosis and Detection Of Myocardial Ischmentioning
confidence: 96%
“…December 1, 2015 disease. 78 However, in a larger group of 653 asymptomatic heterozygous FH patients (42% male subjects with an average age of 42 years, 70% using lipid-lowering therapy), a positive stress test was found in 9% of the subjects. 79 Exercise stress tests could also provide prognostic information in asymptomatic heterozygous FH patients.…”
Section: Subclinical Atherosclerosis and Detection Of Myocardial Ischmentioning
confidence: 96%
“…C1 (model for untreated data); C2 (model for treated data); TC= Total cholesterol; TG = Triglycerides; LDL-C = Low-density lipoprotein cholesterol; DBP = Diastolic blood pressure; BMI = Body mass index; CHD = Coronary heart disease. xanthomata and corneal arcus were significant factors of FH (Khoo et al, 2000;Michaelides et al, 2004;Scicali et al, 2018). This indicates that patients who have physical symptoms such as corneal arcus and xanthomata more likely (have higher likelihood) to to be classified as FH patient.…”
Section: Discussionmentioning
confidence: 90%
“…154 Outro estudo com 194 indivíduos com HF detectou 21% de testes ergométricos positivos. 155 Apesar de não haver estudos randomizados com teste ergométrico na HF e de os poucos que existem utilizarem critério diagnóstico clínico, a realização de teste ergométrico periodicamente na HFHe pode ser útil para os indivíduos assintomáticos que desejam iniciar atividade física recreativa ou competitiva, bem como para aqueles que apresentam fatores de risco adicional para doença coronariana ou com início de tratamento hipolipemiante tardio, podendo ser repetido a cada 3 a 5 anos (classe IIb, nível de evidência C). Com base nessas informações, podem ser considerados fatores ou marcadores adicionais de risco em portadores de HF os apresentados na Tabela 3. prevenção primária, comparados aos não portadores da doença.…”
Section: Pesquisa De Isquemia Miocárdicaunclassified