Quantification of coronary risk score.
OBJECTIVE
To quantify the coronary risk score in children and/or grandchildren of patients with coronary artery disease (CAD).


METHODS
One hundred and fifty children with positive family history of CAD (cases) and age and sex matched children with no such history (controls) were enrolled in the study. Fasting blood sugar, serum cholesterol and triglycerides were estimated on all children and a risk score was calculated using Nora's scheme.


RESULTS
The cases and controls were similar with respect to mean age, six distribution, mean weight and mean height. None of the child was hypertensive. Mean serum levels of triglycerides were 164.7 m/dl and 105.7 mg% respectively in cases and controls (p < 0.005). Prevalence of hypertriglyceridemia was three times more in cases (p < 0.001). Cases had a significantly higher risk scores (p < 0.00001) and this was mainly attributable to higher biochemical risk (P < 0.0006).


CONCLUSIONS
Children and grand children with a positive family history of CAD had significantly higher risk scores for future CAD. The increased risk was mainly due to biochemical derangements.
Singh
Tejinder
T
Department of Pediatrics, Christian Medical College & Hospital, Ludhiana. drtejinder@pediatrician.com
Mullick
Shubhro Sumit
SS
Calton
Rajneesh
R
Abraham
Rebecca
R
Kaur
Gurmeet
G
D016022:Case-Control Studies; D016009:Chi-Square Distribution; D002648:Child; D003327:Coronary Disease / Q000097:blood / Q000235:genetics*; D005260:Female; D020022:Genetic Predisposition to Disease; D006801:Humans; D008297:Male; D011237:Predictive Value of Tests; D011446:Prospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D018709:Statistics, Nonparametric; D014280:Triglycerides / Q000097:blood
D014280:Triglycerides