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تعداد آیتم قابل مشاهده باقیمانده: 4

Risk factors for development of atherosclerosis and early cardiovascular disease in childhood

Risk factors for development of atherosclerosis and early cardiovascular disease in childhood
Traditional risk factors
  • Dyslipidemia
  • Obesity
  • Diabetes mellitus (type 1 or 2)
  • Hypertension
  • Family history of premature ASCVD*
  • Smoke exposure
Other conditions with increased ASCVD risk
  • Familial hypercholesterolemia
  • Chronic kidney disease
  • Kawasaki disease
  • Childhood cancer
  • Transplant vasculopathy
  • Certain congenital heart disease defects (eg, CoA, AS, TGA, congenital coronary artery anomalies)
  • Cardiomyopathy (eg, HCM)
  • Chronic inflammatory disorders (eg, SLE, systemic JIA)
  • HIV infection
  • Adolescent depressive and bipolar disorders

AS: aortic stenosis; ASCVD: atherosclerotic cardiovascular disease; CoA: coarctation of the aorta; HCM: hypertrophic cardiomyopathy; HIV: human immunodeficiency virus; JIA: juvenile idiopathic arthritis; SLE: systemic lupus erythematosus; TGA: transposition of the great arteries.

* Family history of premature ASCVD is generally defined as one or more of the following before age 55 years in a male parent or sibling or before age 65 years in a a female parent or sibling:

  • Heart attack, treated angina, or interventions for coronary artery disease
  • Sudden cardiac death
  • Ischemic stroke
References:
  1. De Ferranti SD, Steinberger J, Ameduri R, et al. Cardiovascular risk reduction in high-risk pediatric patients: A scientific statement from the American Heart Association. Circulation 2019; 139:e603.
  2. Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents, National Heart, Lung, and Blood Institute. Expert panel on integrated guidelines for cardiovascular health and risk reduction in children and adolescents: Summary report. Pediatrics 2011; 128 Suppl 5:S213.
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