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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP-
dc.contributor.authorPANG, Jing-
dc.contributor.authorMARAIS, A. David-
dc.contributor.authorBLOM, Dirk J.-
dc.contributor.authorBRICE, Brigitte C.-
dc.contributor.authorSILVA, Pamela R. S.-
dc.contributor.authorJANNES, Cinthia E.-
dc.contributor.authorPEREIRA, Alexandre C.-
dc.contributor.authorHOOPER, Amanda J.-
dc.contributor.authorRAY, Kausik K.-
dc.contributor.authorSANTOS, Raul D.-
dc.contributor.authorWATTS, Gerald F.-
dc.identifier.citationATHEROSCLEROSIS, v.277, p.470-476, 2018-
dc.description.abstractBackground and aims: Familial hypercholesterolaemia (FH) is the commonest monogenic disorder that accelerates atherosclerotic cardiovascular disease. We compared and contrasted the characteristics of patients from three specialist centres in the southern hemisphere. Methods: Adult index-cases with molecularly diagnosed heterozygous FH attending specialist lipid centres in Cape Town, Perth and Sao Paulo were studied. Myocardial infarction, revascularisation, hypertension, diabetes, smoking and lipid-lowering treatment were recorded at the time of diagnosis and compared across the three centres. Results: The spectrum of genetic variants causative of FH was significantly different in patients attending the centres in South Africa compared with Australia and Brazil. Hypertension and diabetes were more prevalent in Brazilian and Australian patients, than in South African patients, but the frequency of smoking was significantly greater in South Africa than the other two centres (p<0.01). Age, male sex and smoking were significant independent predictors of coronary artery disease (CAD) in all three countries (p<0.05). Conclusions: Patients with FH in three specialist centres in the southern hemisphere exhibit a high prevalence of non-cholesterol cardiovascular disease risk factors. Older age, male sex and smoking were more common among subjects with CAD. In all three countries, there should be vigorous programmes for the control of risk factors beyond good control of hypercholesterolaemia among patients with FH. Promotion of a healthy lifestyle, especially anti-smoking advice, is of paramount importance. (c) 2018 Published by Elsevier B.V.-
dc.description.sponsorshipInternational Atherosclerosis Society-
dc.description.sponsorshipPfizer [10839501]-
dc.subjectFamilial hypercholesterolaemia-
dc.subjectSouth Africa-
dc.titleHeterozygous familial hypercholesterolaemia in specialist centres in South Africa, Australia and Brazil: Importance of early detection and lifestyle advice-
dc.rights.holderCopyright ELSEVIER IRELAND LTD-
dc.subject.wosCardiac & Cardiovascular Systems-
dc.subject.wosPeripheral Vascular Disease-
dc.type.categoryoriginal article-
dc.type.versionpublishedVersion-, Jing:Univ Western Australia, Sch Med, Fac Hlth & Med Sci, Perth, WA, Australia-, A. David:Univ Cape Town, Fac Hlth Sci, Div Chem Pathol, Cape Town, South Africa; Natl Hlth Lab Serv, Cape Town, South Africa-, Dirk J.:Univ Cape Town, Fac Hlth Sci, Dept Med, Div Lipidol, Cape Town, South Africa; Univ Cape Town, Fac Hlth Sci, Dept Med, Hatter Inst, Cape Town, South Africa; Groote Schuur Hosp, Cape Town, South Africa-, Brigitte C.:Univ Cape Town, Fac Hlth Sci, Dept Med, Div Lipidol, Cape Town, South Africa; Univ Cape Town, Fac Hlth Sci, Dept Med, Hatter Inst, Cape Town, South Africa; Groote Schuur Hosp, Cape Town, South Africa-, Amanda J.:Univ Western Australia, Sch Med, Fac Hlth & Med Sci, Perth, WA, Australia; Royal Perth Hosp, PathWest Lab Med WA, Dept Clin Biochem, Perth, WA, Australia; Fiona Stanley Hosp Network, Perth, WA, Australia-, Kausik K.:Imperial Coll London, Sch Publ Hlth, Dept Primary Care & Publ Hlth, Imperial Ctr Cardiovasc Dis Prevent, London, England-, Gerald F.:Univ Western Australia, Sch Med, Fac Hlth & Med Sci, Perth, WA, Australia; Royal Perth Hosp, Dept Cardiol, Cardiometab Serv, Lipid Disorders Clin, Perth, WA, Australia-
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Artigos e Materiais de Revistas Científicas - FM/MCP
Departamento de Cardio-Pneumologia - FM/MCP

Artigos e Materiais de Revistas Científicas - HC/InCor
Instituto do Coração - HC/InCor

Artigos e Materiais de Revistas Científicas - LIM/13
LIM/13 - Laboratório de Genética e Cardiologia Molecular

Artigos e Materiais de Revistas Científicas - ODS/03
ODS/03 - Saúde e bem-estar

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