Lower levels of high-density lipoprotein cholesterol in urban Africans presenting with communicable versus non-communicable forms of heart disease: The 'Heart of Soweto' hospital registry study

Jasmine Lyons, Karen Sliwa, Melinda Carrington, Frederick Raal, Sandra Pretorius, Friedrich Thienemann, Simon Stewart

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2 Citations (Scopus)


Objectives: To investigate if urban Africans displayed lower levels of atheroprotective high-density lipoprotein cholesterol (HDLC) when presenting with communicable versus non-communicable forms of heart disease (HD) as both acute infection and chronic inflammation reduce HDLC levels. Design: Hospital registry of 5328 de novo cases of HD over a 3-year period. Setting: Cardiology Unit, Baragwanath Hospital in Soweto, South Africa. Participants: A total of 1199 patients of African descent (59 women; 57.0?13.4 years) had fasting blood lipid levels (total cholesterol (TC), triglyceride, HDLC and low-density lipoprotein cholesterol (LDLC)) documented on admission. Serum inflammatory marker C reactive protein (CRP) was measured in a subset of 367 patients (31 of cases). Main outcome measures: Lipid profiles were compared according to prespecified classification of non-communicable (eg, hypertensive HD) versus communicable (eg, rheumatic HD) HD. Low HDLC was defined as
Original languageEnglish
Article numbere005069
Pages (from-to)1 - 8
Number of pages8
JournalBMJ Open
Issue number7
Publication statusPublished - 2014

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