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dc.contributor.authorHovland, Anders
dc.contributor.authorMundal, Liv
dc.contributor.authorIgland, Jannicke
dc.contributor.authorVeierød, Marit Bragelien
dc.contributor.authorHolven, Kirsten Bjørklund
dc.contributor.authorBogsrud, Martin Prøven
dc.contributor.authorTell, Grethe S.
dc.contributor.authorLeren, Trond Paul
dc.contributor.authorRetterstøl, Kjetil
dc.date.accessioned2019-02-10T20:06:25Z
dc.date.available2019-02-10T20:06:25Z
dc.date.embargoEndDate2019-05-22
dc.date.issued2018-11-21
dc.description.abstract<p><i>Background and Purpose</i>: Familial hypercholesterolemia (FH) is a common autosomal dominant disease leading to increased level of serum LDL (low-density lipoprotein) cholesterol and risk of coronary heart disease. Whether FH increases the risk of cerebrovascular disease, including ischemic stroke, is debated. Accordingly, we studied the incidence of cerebrovascular disease in a cohort of people with genetically verified FH compared with the entire Norwegian population and examined whether people in this cohort with previous cohort had increased risk of cerebrovascular disease.</p> <p><i>Methods</i>: Incidence rates of hospitalization for cerebrovascular disease (among 3144 people with FH) and ischemic stroke (among 3166 people with FH) were estimated by linkage of FH people to Cardiovascular Disease in Norway—a nationwide database of cardiovascular disease hospitalizations (2001–2009). We calculated standardized incidence ratios and used Cox regression to estimate hazard ratios.</p> <p><i>Results</i>: A total of 46 cases (19 women and 27 men) of cerebrovascular disease were observed in the cohort of people with FH, with no increased risk of cerebrovascular disease compared with the general population (standardized incidence ratio, 1.0; 95% CI, 0.8–1.4). Total number of ischemic strokes in the cohort of people with FH was 26 (9 women and 17 men), with no increased risk compared with the general population (standardized incidence ratio, 1.0; 95% CI, 0.7–1.5). Prior coronary heart disease significantly increased cerebrovascular disease risk in women (hazard ratio, 3.29; 95% CI, 1.20–9.00) but not in men (hazard ratio, 1.03; 95% CI, 0.45–2.37; Pinteraction=0.04).</p> <p><i>Conclusions</i>: In a large cohort of genetically verified FH, risks of cerebrovascular disease and ischemic stroke were not increased compared with the total Norwegian population.</p>en_US
dc.description.sponsorshipUniversity of Oslo The Throne-Holst Foundation The SouthEastern Norway Regional Health Authorityen_US
dc.descriptionAccepted manuscript version. Published version available at <a href=https://doi.org/10.1161/STROKEAHA.118.023456> https://doi.org/10.1161/STROKEAHA.118.023456</a>.en_US
dc.identifier.citationHovland, A., Mundal, L.J., Igland, J., Veierød, M.B., Holven, K.B., Bogsrud, M.P., Tell, G.S., ... Retterstøl, K. (2018). Risk of Ischemic Stroke and Total Cerebrovascular Disease in Familial Hypercholesterolemia. <i>Stroke, 50</i>, 172-174. https://doi.org/10.1161/STROKEAHA.118.023456en_US
dc.identifier.issn0039-2499
dc.identifier.issn1524-4628
dc.identifier.otherFRIDAID 1664655
dc.identifier.urihttps://hdl.handle.net/10037/14664
dc.language.isoengen_US
dc.publisherAmerican Heart Associationen_US
dc.relation.journalStroke
dc.rights.accessRightsembargoedAccessen_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Cardiology: 771en_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Kardiologi: 771en_US
dc.subjectcerebrovascular disordersen_US
dc.subjectcholesterol, LDLen_US
dc.subjecthyperlipoproteinemia type IIen_US
dc.subjectrisken_US
dc.subjectstrokeen_US
dc.titleRisk of Ischemic Stroke and Total Cerebrovascular Disease in Familial Hypercholesterolemiaen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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