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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1993-6-22
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pubmed:abstractText |
This study reports the results of routine evaluation to detect coronary and carotid atherosclerosis in 200 asymptomatic and hypercholesterolemic patients (48 +/- 10 years: 72.5% men). All patients underwent physical examination, blood lipid profile, an exercise test and cervical echo-doppler. If the exercise electrocardiogram was abnormal, a thallium isotope scan and/or coronary arteriography were performed. Hypercholesterolemia was severe (3.03 +/- 0.52 g/l). 77.5% of patients had pure hypercholesterolemia. Carotid atherosclerosis in the form of plaque (27.5%) or stenosis (3.5%) was found in 31% of patients. This carotid atheroma was commoner in older patients (51.9 +/- 9 years as against 47 +/- 10 years, p < 0.01). Twenty patients (10%) had electrical signs of ischemia provoked by exercise. Six of them had a normal thallium isotope scan and did not undergo coronary arteriography. Coronary arteriography was abnormal in 10 patients (5%): 7 had stenotic lesions and 3 showed evidence of spasm during the methylergometrine test. In total, the hypercholesterolemic patients investigated here were characterised by subclinical atherosclerosis which was frequent but certainly underestimated by non-invasive studies. The existence of an atherosclerotic lesion is an additional argument in favour of starting cholesterol-lowering treatment.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0003-3928
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
42
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
133-7
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pubmed:dateRevised |
2009-11-11
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pubmed:meshHeading |
pubmed-meshheading:8498798-Adult,
pubmed-meshheading:8498798-Aged,
pubmed-meshheading:8498798-Aging,
pubmed-meshheading:8498798-Arteriosclerosis,
pubmed-meshheading:8498798-Carotid Artery Diseases,
pubmed-meshheading:8498798-Constriction, Pathologic,
pubmed-meshheading:8498798-Coronary Angiography,
pubmed-meshheading:8498798-Coronary Artery Disease,
pubmed-meshheading:8498798-Exercise Test,
pubmed-meshheading:8498798-Female,
pubmed-meshheading:8498798-Humans,
pubmed-meshheading:8498798-Hypercholesterolemia,
pubmed-meshheading:8498798-Male,
pubmed-meshheading:8498798-Mass Screening,
pubmed-meshheading:8498798-Middle Aged
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pubmed:year |
1993
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pubmed:articleTitle |
[Systematic cardiovascular evaluation and hypercholesterolemia. Results in 200 asymptomatic patients].
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pubmed:affiliation |
Unité de prévention de l'athérosclérose, CHU Purpan, Toulouse.
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pubmed:publicationType |
Journal Article,
English Abstract
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