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Please use this identifier to cite or link to this item: https://olympias.lib.uoi.gr/jspui/handle/123456789/9055
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dc.contributor.authorTsouli, S. G.en
dc.contributor.authorXydis, V.en
dc.contributor.authorArgyropoulou, M. I.en
dc.contributor.authorTselepis, A. D.en
dc.contributor.authorElisaf, M.en
dc.contributor.authorKiortsis, D. N.en
dc.date.accessioned2015-11-24T16:46:17Z-
dc.date.available2015-11-24T16:46:17Z-
dc.identifier.issn0021-9150-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/9055-
dc.rightsDefault Licence-
dc.subjectachilles tendon thicknessen
dc.subjectfamilial hypercholesterolemiaen
dc.subjectatorvastatinen
dc.subjectcholesteryl ester transferen
dc.subjectcoronary-artery diseaseen
dc.subjectreceptor gene mutationen
dc.subjectfemoral atherosclerosisen
dc.subjectcomputed-tomographyen
dc.subjectprobucol treatmenten
dc.subjectxanthomasen
dc.subjectpravastatinen
dc.titleRegression of Achilles tendon thickness after statin treatment in patients with familial hypercholesterolemia: An ultrasonographic studyen
heal.typejournalArticle-
heal.type.enJournal articleen
heal.type.elΆρθρο Περιοδικούel
heal.identifier.primaryDOI 10.1016/j.atherosclerosis.2008.10.032-
heal.identifier.secondary<Go to ISI>://000268115000023-
heal.identifier.secondaryhttp://ac.els-cdn.com/S0021915008007740/1-s2.0-S0021915008007740-main.pdf?_tid=8c66cc3877eae55469dd588285b75834&acdnat=1333112364_8fbba45b648fcc9a055a4f7cfc95944a-
heal.languageen-
heal.accesscampus-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Θετικών Επιστημών. Τμήμα Χημείαςel
heal.publicationDate2009-
heal.abstractObjective: Achilles tendon xanthomas (ATX) have been associated with increased cardiovascular risk in patients with familial hypercholesterolemia (FH). The aim of this study was to evaluate clinical and ultrasonographic changes of ATX in patients with FH under statin treatment. Methods: Achilles tendon thickness (ATT) and echostructure were studied by ultrasonography (US) in 80 unrelated heterozygous FH patients and in 80 age- and sex-matched controls. For ATT measurements the anterioposterior diameter (mm) of the Achilles tendon was measured on sagittal scans. Patients were treated with atorvastatin (mean dose 20 10 mg/day) and a follow-up examination was performed 12 months later. Results: Clinical examination revealed xanthomas in 15 patients. On US normal fibrillar echostructure (grade 1) of the Achilles tendon (AT) was observed in 42 patients, abnormal echostructure with diffuse heterogeneous echo pattern (grade 2) in 30 patients and focal hypoechoic lesions (grade 3) in 8 patients. At baseline, ATT of all patients (5.23 +/- 0.91 mm) was significantly larger compared with controls (4.20 +/- 0.70mm) (p<0.05). Patients with grades 2 (5.20 +/- 0.60mm) and 3 (6.98 +/- 1.07mm) had significantly larger ATT than those with grade 1 (4.90 +/- 0.55 mm), In < 0.05. Patients with grade I showed significant reduction in ATT after statin treatment (from 4.90 0.55 mm to 4.50 +/- 0.43 mm, p < 0.01). In patients with grades 2 and 3 abnormal echostructure remained unchanged and no significant reduction in ATT was observed. Conclusion: Statin treatment reduces ATT in FH patients with normal AT echostructure. Ultrasound detects AT structural involvement and is useful in the monitoring of response to treatment. (C) 2008 Elsevier Ireland Ltd. All rights reserved.en
heal.publisherElsevier Irelanden
heal.journalNameAtherosclerosisen
heal.journalTypepeer reviewed-
heal.fullTextAvailabilityTRUE-
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