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Vascular Medicine, Vol. 12, No. 2, 129-134 (2007)
DOI: 10.1177/1358863X07077283
© 2007 SAGE Publications

Skin tissue cholesterol is not related to vascular occlusive disease

Markus Reiter

Clinic for Internal Medicine , Department of Angiology, Medical University Vienna, Vienna, Austria, markus.reiter@ meduniwien.ac.at

Susan Wirth

Clinic for Internal Medicine , Department of Angiology, Medical University Vienna, Vienna, Austria

Ali Pourazim

Clinic for Internal Medicine , Department of Angiology, Medical University Vienna, Vienna, Austria

Stefan Puchner

Clinic for Radiology, Department of Angiography and Interventional Radiology, Medical University Vienna, Vienna, Austria

Mehrdad Baghestanian

Clinic for Internal Medicine , Department of Angiology, Medical University Vienna, Vienna, Austria

Erich Minar

Clinic for Internal Medicine , Department of Angiology, Medical University Vienna, Vienna, Austria

Robert A. Bucek

Clinic for Internal Medicine , Department of Angiology, Medical University Vienna, Vienna, Austria, Clinic for Radiology, Department of Angiography and Interventional Radiology, Medical University Vienna, Vienna, Austria

The objective of the present study was to evaluate the role of skin tissue cholesterol (SkinTc) in predicting the presence of atherosclerosis. SkinTc concentrations were determined in 318 consecutive patients by using the non-invasive PREVU POC Skin Sterol Test. Additionally, a complete lipid status and cardiovascular risk profile according to the PROCAM and Framingham scores as well as an evaluation by carotid duplex sonography and ankle—brachial blood pressure index testing was obtained from all patients. SkinTc concentrations did not differ significantly among patients suffering from cerebrovascular disease (CVD) and peripheral arterial disease (PAD) compared to the corresponding control groups and among patients with a calculated cardiovascular risk > 10% in 10 years compared to patients with a risk< 10% (all p > 0.05). Additionally, SkinTc concentrations were not significantly higher in the 245 patients with at least one documented atherosclerotic disease compared with the remaining 73 patients without evidence of atherosclerosis. In conclusion, SkinTc concentrations determined by the PREVU POC Skin Sterol Test are not related to the presence of CVD and PAD or to an elevated cardiovascular risk, indicating that this parameter cannot be used as a reliable indicator of atherosclerosis.

Key Words: atherosclerosis • cholesterol • Framingham • PREVU POC Skin Sterol Test • PROCAM • skin tissue cholesterol


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