[Coronary heart disease in patients with primary type V hyperlipoproteinemia (author's transl)].
In two patients with primary Type V hyperlipoproteinemia with typical clinical features including recurrent bouts of abdominal pain a myocardial infarction was diagnosed. In both cases coronary angiography revealed a severe three vessel disease. The case reports demonstrate that the incidence of ischemic heart disease in patients with Type V hyperlipoproteinemia is higher than reported in the literature. In each case of severe abdominal pain, even in younger Type V patients, a myocardial infarction has to be excluded, In both patients a selective depression in the activity of lipoprotein lipase was found. The possible pathogenetic implication of this finding will be discussed.
D000368:Aged; D002914:Chylomicrons / Q000097:blood*; D003327:Coronary Disease / Q000097:blood / Q000209:etiology*; D003937:Diagnosis, Differential; D006801:Humans; D006949:Hyperlipidemias / Q000097:blood / Q000150:complications*; D008079:Lipoproteins, VLDL / Q000097:blood*; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis; D010195:Pancreatitis / Q000175:diagnosis; D014280:Triglycerides / Q000097:blood*
D002914:Chylomicrons; D008079:Lipoproteins, VLDL; D014280:Triglycerides
Koronare Herzkrankheit bei Patienten mit Hyperlipoproteinämie Typ V.