title: Cardiovascular disease mortality in familial forms of hypertriglyceridemia: A 20-year prospective study.
abstract: BACKGROUND
  Familial combined hyperlipidemia (FCHL) and familial hypertriglyceridemia (FHTG) are 2 of the most common familial forms of hyperlipidemia. There is a paucity of prospective data concerning the risk of cardiovascular disease (CVD) in such families. The purposes of this study were to estimate 20-year total and CVD mortality risk among relatives in these families and to evaluate plasma triglyceride as a predictor of death.
  
  
  RESULTS
  The study was based on lipid and medical history data from 101 families ascertained in 2 studies conducted in the early 1970s. Vital status and cause of death was determined during 1993 to 1997 for 685 family members, including first-degree relatives of the probands and spouse control subjects. Compared with spouse control subjects, 20-year CVD mortality risk was increased among siblings and offspring in FCHL (relative risk 1.7, P=0.02) after adjustment for baseline covariates. In FHTG families, the relative risk was also 1.7 but was not statistically significant (P=0.39). Baseline triglyceride was associated with increased CVD mortality risk independent of total cholesterol among relatives in FHTG families (relative risk 2.7, P=0.02) but not in FCHL families (relative risk 1.5, P=0.16) after adjustment for baseline covariates.
  
  
  CONCLUSIONS
  This prospective study establishes that relatives in FCHL families are at increased risk for CVD mortality and illustrates the need for effective prevention strategies in this group. Baseline triglyceride level predicted subsequent CVD mortality among relatives in FHTG families, adding to the growing evidence for the importance of hypertriglyceridemia as a risk factor for CVD.
authors.affiliation: Department of Epidemiology, School of Public Health and Community Medicine, University of Washington, Seattle 98195-7236, USA. maustin@u.washington.edu
authors.forename: M A
authors.initials: MA
authors.lastname: Austin
authors.forename: B
authors.initials: B
authors.lastname: McKnight
authors.forename: K L
authors.initials: KL
authors.lastname: Edwards
authors.forename: C M
authors.initials: CM
authors.lastname: Bradley
authors.forename: M J
authors.initials: MJ
authors.lastname: McNeely
authors.forename: B M
authors.initials: BM
authors.lastname: Psaty
authors.forename: J D
authors.initials: JD
authors.lastname: Brunzell
authors.forename: A G
authors.initials: AG
authors.lastname: Motulsky
mesh_terms: D000328:Adult; D002318:Cardiovascular Diseases / Q000097:blood / Q000209:etiology* / Q000401:mortality*; D005260:Female; D005544:Forecasting; D006801:Humans; D006949:Hyperlipidemias / Q000097:blood / Q000150:complications / Q000235:genetics; D015228:Hypertriglyceridemia / Q000097:blood / Q000150:complications* / Q000235:genetics*; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012307:Risk Factors; D014280:Triglycerides / Q000097:blood
chemical_list: D014280:Triglycerides