PMID- 30968218 OWN - NLM STAT- MEDLINE DCOM- 20200225 LR - 20200225 IS - 1615-2573 (Electronic) IS - 0910-8327 (Linking) VI - 34 IP - 10 DP - 2019 Oct TI - Prevalence of Achilles tendon xanthoma and familial hypercholesterolemia in patients with coronary artery disease undergoing percutaneous coronary intervention. PG - 1595-1599 LID - 10.1007/s00380-019-01400-6 [doi] AB - Familial hypercholesterolemia (FH) is reportedly associated with the development of coronary artery disease (CAD), especially acute coronary syndrome (ACS). However, the prevalence of FH in patients with stable CAD is still unclear. The aim of this study was to investigate the prevalence of Achilles tendon xanthoma (ATX) and heterozygous FH in patients with stable CAD and ACS undergoing percutaneous coronary intervention (PCI). A total of 423 patients with CAD (273 stable CAD and 150 ACS) undergoing PCI at Chiba University Hospital between June 2016 and February 2018 were enrolled in this study. Soft X-ray radiography of the Achilles tendon was performed in all patients, and a maximum thickness of 9 mm or more is regarded as ATX. Heterozygous FH was diagnosed according to the Japan Atherosclerosis Society Guidelines. In comparisons between stable CAD and ACS patients, ATX was observed in 9.2% vs. 15.3% (p = 0.055), and heterozygous FH was diagnosed in 3.7% vs. 5.3% (p = 0.416), respectively. Among ACS patients, those with ST elevation myocardial infarction (STEMI) showed the highest prevalence of ATX (19.5%) and FH (7.3%). Whereas ATX and heterozygous FH were considerably observed in patients with ACS, a certain number of ATX and heterozygous FH were also detected in stable CAD patients. FAU - Kitahara, Hideki AU - Kitahara H AUID- ORCID: 0000-0002-2888-6160 AD - Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8677, Japan. hkitahara@chiba-u.jp. FAU - Mori, Naoto AU - Mori N AD - Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8677, Japan. FAU - Saito, Yuichi AU - Saito Y AD - Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8677, Japan. FAU - Nakayama, Takashi AU - Nakayama T AD - Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8677, Japan. FAU - Fujimoto, Yoshihide AU - Fujimoto Y AD - Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8677, Japan. FAU - Kobayashi, Yoshio AU - Kobayashi Y AD - Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8677, Japan. LA - eng PT - Journal Article DEP - 20190409 PL - Japan TA - Heart Vessels JT - Heart and vessels JID - 8511258 RN - 0 (Cholesterol, LDL) SB - IM MH - Achilles Tendon/*diagnostic imaging MH - Aged MH - Cholesterol, LDL/blood MH - Coronary Artery Disease/blood/*complications/surgery MH - Female MH - Humans MH - Hyperlipoproteinemia Type II/blood/*epidemiology MH - Japan/epidemiology MH - Male MH - Middle Aged MH - *Percutaneous Coronary Intervention MH - X-Rays MH - Xanthomatosis/diagnostic imaging/*epidemiology OTO - NOTNLM OT - Achilles tendon xanthoma OT - Coronary artery disease OT - Familial hypercholesterolemia EDAT- 2019/04/11 06:00 MHDA- 2020/02/26 06:00 CRDT- 2019/04/11 06:00 PHST- 2018/10/28 00:00 [received] PHST- 2019/04/05 00:00 [accepted] PHST- 2019/04/11 06:00 [pubmed] PHST- 2020/02/26 06:00 [medline] PHST- 2019/04/11 06:00 [entrez] AID - 10.1007/s00380-019-01400-6 [pii] AID - 10.1007/s00380-019-01400-6 [doi] PST - ppublish SO - Heart Vessels. 2019 Oct;34(10):1595-1599. doi: 10.1007/s00380-019-01400-6. Epub 2019 Apr 9.