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Evaluation of Hypercholesterolemia in Childhood

Thomas J. Starc MD1
Richard J. Deckelbaum MD1
 1 Department of Pediatrics, Divisions of Cardiology and Gastroenterology and Nutrition, Columbia University, New York, NY.

For many adults, the risk of atherosclerosis can be reduced by intervention and treatment of known risk factors. Direct proof that similar intervention will be effective in children is not available. However, evidence suggests that prevention beginning in childhood will lead to a decrease in incidence of heart disease later in life. The majority of families are eager to take steps to prevent heart disease in their children, especially if there is a family history of early heart disease. It is the role of the pediatrician to identify those children at risk for early heart disease and to initiate advice on reducing risk factors.




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S. de Ferranti, D. Shapiro, R. Markowitz, E. Neufeld, N. Rifai, and H. Bernstein
Nonfasting Low-Density Lipoprotein Testing: Utility for Cholesterol Screening in Pediatric Primary Care
Clinical Pediatrics, June 1, 2007; 46(5): 441 - 445.
[Abstract] [PDF]


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