Serum Lipid Abnormalities

|
 
     
  á

  
 á   

 
 
 á   
   ! !!"

    
     











 
 

°



 



 

 

 

  

    





 

   
  
 



 

#  $



 

 






% 
 % 


 



 



or

 



 



 
  


   ¯ ¯ ¯ ¯

<

  
 &
 
 ' 


Æ 
 
  ¯

¯

  (



      


$ 
  



 (  $  
))
* 

  % (   


 
  ¯

¯

¯

<
      
 + á    ,   

  

  (
  (    $    &&&&&á-&á #&

 
  ¯ ¯ ¯

  
  
$&
 
  
 
. /

$   ¯ '

$ * ¯

  !|"  ¯ ¯ ¯

Æ ! ||

 
$  && $  
%á  
$  &  ( 
%+á,   

   
  0
  % ( 

#
  ¯

 
$1

¯

  
$ 

 
&&
  (
  


  
$ 
 (
$     

#
  ¯

&&   (
        ( 

 1

¯


 
 23!!$

 
 

 
$% ¯ ¯ ¯ ¯ ¯ ¯

&$$   '+/34á5, á
 &<&+
 

, &<&   
  #     #    &

°$°% ¯ ¯ ¯ ¯ ¯ ¯ ¯

'+/6!!á5,      
  á 
        
   
*&<& á #     #    & #

$% ¯ ¯ ¯ ¯ ¯

'/6!!5 &&   7 % 
  $

 /6!!85 7 
     && #     
   &

$ % ¯ ¯ ¯ ¯ ¯ ¯

'/6!!1#&-9 :& ;
  86; $ &
  (%

 /6!! #  
  
  & #


 
 ¯

( ))$  . ( ¯ ¯ ¯

¯


$ 
         '$ :

      


))$  
.  ¯ ¯ ¯ ¯ ¯

&(
     5 $  <
 ' 
 . 
 




 ¯ ¯ ¯ ¯ ¯

'+'6' á, < 
   

 


        $   

     &(& (á+
 
$á,
&& á  
 

#  
  
  

'   (  )

  

! 



 +  
 ,

&<&

  á

 

:

 &<&

  :

 á

 



á    +&&,

&&  '/=&&


:

      
 :á&

*

 =á    +&&8&&,

'/=&&


:á&



 =á     +&,

'  5+5 5 ,

:

   
 



°

 +&&,

&<&

  á

  '/=&&


:

   :á& :

 á

 

°

  á  
 8 &&

&<&

  á

  '/=&&


:

 &<&

  :á& :

 á

 

¯ ¯ ¯

=> 
    
$ 

 >        >       

 

  +   ,  +   

  +   ,  -+   

  +   , +   

  
 

!  ¯ ¯

#

 
$  
$ 
  +?6!!!$&, ¯

¯


( +   


$ &&  
  ¯

¯

| ! !|

  +        +'
   %   ,


$ 
  + !!!$&,. ¯

  
 &

| ! . !!|  ##    *|

á 

    


Obesity

Increased triglycerides, decreased HDL cholesterol

Sedentary lifestyle

Decreased HDL cholesterol

Diabetes mellitus

Increased triglycerides, increased total cholesterol

Alcohol use

Increased triglycerides, increased HDL cholesterol

Hypothyroidism

Increased total cholesterol

Hyperthyroidism

Decreased total cholesterol

Nephrotic syndrome

Increased total cholesterol

Chronic renal insufficiency

Increased total cholesterol, increased triglycerides

Hepatic disease (cirrhosis)

Decreased total cholesterol

Obstructive liver disease

Increased total cholesterol

Malignancy

Decreased total cholesterol

Cushing's disease (or corticosteroid use)

Increased total cholesterol

Oral contraceptives

Increased triglycerides, increased total cholesterol

Diuretics

Increased total cholesterol, increased triglycerides

Beta Blockers

Increased total cholesterol, decreased HDL


     -
  
 ¯

<

 
 

 
$

    (

 
  
 
.

 
 

  ¯ #( $
 ¯ #   ¯

¯

 $  


  $  
 



¯

<

  < 
.     ¯ & 
.':á'<<á'<  ¯ '  
.+'á,  ¯

|  

(   6 

;

$
   
 0

 $
   

   
$   (
   


| ! .!!|  ##   *|

¯

 
   ( . '  

   
$
$    

  ¯ 
    
$ 

 
 

      


 ¯

| !!Æ#  Æ*  | 

'   
 
) ¯ ¯

á á
%0
  . 6  ; 3 @

<
       
 '''  
 
 
 
 
 
 
%    $    !A 6! 6!))
% 
$á9

¯

#
  á    5
 <$+#á5<,. ¯

¯

   $ ! 

<:. ¯

 ;@
  $3@
 (    
% á

 
 



  ¯

'$ $  ¯ ¯

¯

 $3@   $@@ 

'

  á. 6

 
  6 

 ; 3

2@@
6 $ $     
 2B@
6 $  


  
 +(      , á 
$

%
$+6!
$

, &    +23!$&,

•


  (   #
 
/   •


 ¯

/
%    

 á
%

$ 6!) 6!) 
%
$:
$  

%      

 (
  
%  

|
'   ¯

¯

¯

&(&

  
%   
$ &&    
(  
$
 6!))á
% 
$
 6! 
     
(    
%   
    
&&    
<  
$  +$   6C!$&,

|

   ¯

<
 $"@ . =á.&&) (
$  
 =á.&&) ¯ #á. 
$     ¯

¯



  

 .   
     ¯ &
<   ¯ á


 ¯ <
   ¯


 

Æ  
 

j á  

  !
" #$

  
   
 %    %  á &
 á    '  " #$ " #$

ï
  á  á  
 "()   * +),$

- ())

())

())

  
  +.  &  "()   (),  +),$

- (/)

(/)

(/)

    +.  &  "()   - (),$

- (/)

(/)

(0)

   )1(  & 

- (0)

(0)

(2)


    
   .

¯

D



$%
$.
&8 (&& ¯ 5<
+ (
$  , &&


& ¯     +6E  +6E  ,.
& ¯

 

 
 ¯ ¯ ¯

@E6!A
&&       3(% 



 

1 ¯ ¯

¯ ¯ ¯

  
   @E @E;!A        "A
 



         !!$ <     && &      . ¯ ¯

&&  &1 9

 
 ¯

¯ ¯ ¯

J
  
 F          
  
 

     

   
&&    @E    @E 6!A 
 


á        '
<
  



  $  


    
 

Æ 
 
 ¯ ¯

'

  <
 46$   
$ 
. '  (  ¯  
$
  ¯ 5 $
$       $
 < ¯

¯ ¯ ¯

'
;!E
;!E3!A
 
&& á

 $  


 +BEE4(%,  


 +B  
$ 

! !$!! % ¯ ¯ ¯ ¯ ¯ ¯

 
 && : ))

 ;E : ;E3@$ 6@ 6@EE @A
 
&&     @@EE;@A

&    

 
$ 
   
 . ¯ ¯ ¯

: 
$ 
&(


; @$   $ 5< $  
 


*    

*!!Æ ¯ ¯ ¯ ¯ ¯

á   
 á 
   &&  6@EE @A  &&  6@  
$ 
    G  & 
 .  

  $ ¯ # 

$ ¯ '
  '
  ))  

 ¯

|!|

$Æ

 % $Æ ¯ ¯ ¯ ¯ ¯ ¯ ¯ ¯

0 | !* | $| !|%

  
  
  
 
  
 
 


     

 
  
$

 
 

% % —
  —      
  —   —
   
    

  

 
&:GD );    <
  

#
 
( (  ¯ ¯ ¯ ¯ ¯ ¯


*
: 
  á 
    

&<& &&

 
$ 
   3!A

&&   6!EE6@A

&&   6!


&   6@EE !A


&   6@ 
 +
á 
 ,. ¯

  


 

  
   




* ¯

¯

¯



 

 
 
   

    

&&6@A)) !A(  

&&6@A      *


6!$ 



' 
 )


  ¯ ¯ ¯ ¯ ¯ ¯ ¯

#



  
     
% 
*
5<
  
$%
$ &
$(
$ 

 
 1 ¯ ¯ ¯

/  %+< &   , %
$ 
$     
 

* 

  ¯ ¯


% 

  
$  @!!$&

* 

  ¯

 
 

 . ¯ ¯ ¯ ¯ ¯

¯ ¯

'

$   '

$
 $ '

$
   '

$    




 

$    




 .






   )á' 


 5   
á
%
 63A 
 ( ;"A

  
 ¯ ¯

@A'
  ;  (
$. 6  ; 3 @


 
 ?6! 
 ?44
(  
$ 
     6@!$& &  23!$&
 2@!$&
(  /    6;!4@$ $      66!$&

!   6



¯

 +6@!E +6@!E6CC$&,. 
 

   <
  +? !!$&,.
  

   %  ))&    ;!$&
$  % 

  &&$    
$ 
%
 


  ¯ ¯ ¯ ¯

ၠ!!" 
 G

 
  

   !!" !!4 5<
 
   #
   á    5
 <$+#á5<,5< <     
 5 
    
$ /  á     ' +'   <  , ¯ ¯

H'' !!66BI 4@+6C,. 34BE 34BEC"

.((( 

$$

    
< 

   (  2

---&  
 &   &