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In a total number of approximately 500 school-children, belonging to a suburban area around Pordenone (Northern Italy), aged 6-9-12-15, we have performed a two years follow-up on serum TC and TG. As for serum TC, a progressive decrease of mean TC levels at the two rescreenings was observed. We cannot explain such trend, unless we admit that some dietary modification has been introduced in the families, although no dietary advices were given. However the observed decrease of the TC levels, makes clear that a single serum TC determination is not sufficient in order to define the lipid profile of a given subject. Unlike TC, serum TG tend to increase with the age. The "longitudinal" behavior of TC and TG is similar for both males and females.

The purpose of thee present work is to compare th value of two non invasive techniques: cycloergometer and dynamic ECG (Holter) in the diagnosis of ischaemic heart disease in subjects without basal ECG abnormalities and without clearcut clinical signs of coronary insufficiency. Twenty patients underwent both tests while in hospital. The ECG was continuously monitored for 24 hours according to the Holter method. In fifteen out of the twenty cases examined for results obtained with the two different techniques were in agreement; in three cases ischaemic ECG changes were seen only with the ergometer, in one only with the Holter and in one they were clearly present with the Holter, but were doubtful with the ergometric test. In our experience the Holter method should represent the first approach to studying patients suspected to be suffering from angina pectoris in view of its good sensitivity and of the absence of risk and contraindications. Maximal exercise test should be reserved to the patients in whom the Holter method has given negative results. The latter not only has a diagnostic value, but also "quantifies" the degree of ischaemia by recording symptomatic and asymptomatic ST depressions.

72 hypertensive patients have been studied by means of M-Mode echocardiography. The results of our study have shown that a consisting number of hypertensives exhibits signs of left atrial enlargement, an increase of the myocardial mass and of the thickness of the posterior wall. The diastolic indices resulted more precociously impaired as compared to the systolic ones. Finally a positive correlation was found between left atrial enlargement, myocardial mass on one hand and mean blood pressure on the other, and between atrial enlargement and myocardial mass.

The association of an overt coronary artery disease with a cerebrovascular disease is frequently reported. However the real prevalence of atherosclerotic lesions at the carotid bifurcation in coronary patients is not well established. The aim of our study was to evaluate the prevalence of atherosclerotic involvement of the extracranial carotid arteries in a group of 141 patients undergoing coronary artery by-pass graft (CABG) and to verify whether any correlations between coronary and carotid artery disease exist. The extracranial carotid arteries have been studied by means of an echo-doppler (duplex) system, which combines a B-mode images with a pulsed doppler. A high prevalence (17.02%) of patients with a severe (greater than 50% diameter reduction) carotid involvement was detected (Tab. II). However, no correlations between the coronary and the carotid disease were found in terms of extension and severity (Tab. V). In conclusion, a systematic evaluation of the carotid arteries is recommendable in the coronary patients, candidates to CABG, even in the absence of cerebrovascular symptoms.

During the National Research Council (CNR) program called Atherosclerosis-Risk Factors 2 (ATS-RF2) a random sample of 1903 subjects (50.1% male) aged 20-59 years was examined in the general population of Mirano-Venice. Mean values of serum total cholesterol and triglycerides, body mass index, as well as systolic and diastolic blood pressure were assessed. On the whole these turned out to be higher in men and increased with age. The continuously distributed variables showed an approximately normal distribution and a close correlation. Comparing our results with those obtained by other Italian units co-operating in the same CNR program, different levels of serum total cholesterol and systolic blood pressure were observed. The overall risk factor pattern in northern Italian regions is closer to that reported in the literature for central European countries than to that of southern Italian regions. These findings might explain why mortality due to ischaemic heart disease is higher in northern Italy and becomes progressively smaller in central and southern Italy.

Mean systolic BP values gradually and significantly increase from the infancy to the adolescence. On the contrary, diastolic BP does not change significantly. No sex differences were found for mean values of both systolic and diastolic BP. The results of the longitudinal study (two years follow-up) have shown, for the two sexes, a significant increase in the systolic BP values, which parallels the ponderal growth. In particular, the greatest increment of the values was observed in the triennium 12-14 year, that is around the puberty.

The cardiological centers of Pordenone and Cittadella (Italy) organized by the Institute of Clinica Medica II of Padua University, have carried out a study on the "Precursors of arteriosclerosis in children", according to a WHO protocol. In this paper some results of the Pordenone study are reported, concerning serum cholesterol (TC), triglycerides (TG) and blood glucose 1 h after 1 g/Kg glucose per os. 520 school children, males and females, aged 6, 9, 12, 15 years, entered the study. Mean serum TC resulted significantly higher at age 12 as compared to the other age classes. Serum TG progressively increased with age. Mean serum TC and TG in our italian children and adolescents were silimar to those reported in studies from other countries. Blood glucose resulted significantly higher in children than in adolescents. The distribution of the blood glucose values was bimodal. After having arbitrarily fixed cut-off points for serum TC, TG and blood glucose, the prevalence of hyperlipidemia and hyperglycemia was determined. The prevalence figures have shown that at the pediatric age it is possible to identify subjects at "risk" of developing arteriosclerosis.

251 in stable hypertensives were studied with M-Mode and two-dimensional echocardiography, in order to evaluate the prevalence of left ventricular hypertrophy (LVH), its patterns and clinical correlates. 54 subjects (21%) had been treated previously with antihypertensive drugs while the remaining 197 (79%) had not. A normal left ventricle was found in 69 subjects (27.1%; group A); a concentric LVH (h/r greater than or equal to 0.45) was found in 99 (39.4%; group B), while an eccentric LVH (left ventricular myocardial mass index greater than 140 g/m2, h/r less than 0.45) in 83 (43.1%; group C). An asymmetric LVH (septum to posterior wall thickness ratio greater than or equal to 1.3) was found in 33 subjects (3 did not fulfill the criteria for LVH, 21 had a concentric, and 10 an eccentric LVH). Mean age was significantly higher in group B as compared to groups A and C. The body mass index was comparable in all groups. Mean systolic blood pressure was significantly higher in groups B and C as compared to A. The duration and the severity of hypertension did not differ among the three groups. W.H.O. stage III was absent in group A, but no differences were found between group B and C as for W.H.O. stage distribution. We conclude that such factors as BMI, duration and severity of hypertension poorly correlate with the occurrence of LVH and its patterns. The fact that group B hypertensives were older than the others on average is against the hypothesis that eccentric hypertrophy follows the concentric pattern. Whether these two patterns represent separate entities in relation to different hemodynamic profiles deserves further investigation.