Abstract P057: Lipid Evaluation in a Large Cardiology Practice

Abstract

Background: Elevated lipids are becoming an increasing problem in children particularly with increasing rate of obesity. We undertook an evaluation to determine if the risk factors are similar for children in a pediatric cardiology practice who are evaluated for lipids is similar to those for children without congenital heart disease. Methods: We performed a medical record review from January 2006- January 2018 of all children in a pediatric cardiology practice who had lipids obtained. We evaluated their weight, height, BMI, blood pressure and the lipid results. A descriptive analysis was performed to determine the rate of risk factors for hyperlipidemia in this population. Results: In total, 12,950 children had 38,158 lipid panels obtained. The average age at the time the lipid panel was obtained was 11.4 years and 57% (7,365) were male. Of these children, 4,441 were overweight with a weight over the 90 percentile for age and 3,389 were obese with a weight over 95 percentile. Of these children, 82% (or 30331 labs) had elevated total cholesterol over 130 and 51% (or 19299 labs) were over 160. However, of those with elevated cholesterol, 45% were overweight or obese. In addition to elevated total cholesterols, the HDL level was less than 40 in 32% (or 10,654 labs) and less than 35 in 20% (or 6,508 labs). Sub fractionation of the HDL was rarely performed. Conclusions: We are identifying a large population of patients with elevated cholesterol and low HDL cholesterol. The risk factors however may be different as there is a lower proportion of these patients who are overweight or obese than in a typical population. Further evaluation for other risk factors in the population of children with congenital heart disease is necessary.