Document Detail


Reduced high density lipoproteins as a risk factor after acute myocardial infarction.
MedLine Citation:
PMID:  3111177     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a group of normocholesterolemic, non-diabetic middle-aged males surviving an acute myocardial infarction for 4 +/- 2 years (mean +/- SD), we have previously described a low apolipoprotein A-I and a deficient fibrinolytic activity as two major characteristics. In the present study we have followed morbidity and mortality risk factors for five years in these males. Mortality was 40% in a hypertensive group and 16% in a normotensive group. In the normotensive group mortality was related to reinfarction. Furthermore, patients with a poor prognosis in the normotensive group had lower high density lipoprotein (HDL) cholesterol and lower apolipoprotein A-I concentration in plasma than patients with a good prognosis. Unexpectedly, in the hypertensive group death was related to a low (p less than 0.05) cortisol concentration in urine. It is concluded that a low HDL level may be a bad prognostic sign in males who have sustained an acute myocardial infarction and show no evidence of other risk factors, such as diabetes, hypercholesterolemia or hypertension.
Authors:
J Franzén; B W Johansson; A Gustafson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta medica Scandinavica     Volume:  221     ISSN:  0001-6101     ISO Abbreviation:  Acta Med Scand     Publication Date:  1987  
Date Detail:
Created Date:  1987-08-05     Completed Date:  1987-08-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370330     Medline TA:  Acta Med Scand     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  357-62     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Apolipoprotein A-I
Apolipoproteins A / blood*
Cholesterol, HDL / blood*
Humans
Lipoproteins, HDL / blood*
Male
Middle Aged
Myocardial Infarction / blood*,  mortality
Recurrence
Risk
Triglycerides / blood
Chemical
Reg. No./Substance:
0/Apolipoprotein A-I; 0/Apolipoproteins A; 0/Cholesterol, HDL; 0/Lipoproteins, HDL; 0/Triglycerides

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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