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The Atherosclerosis Risk in Communities (ARIC) Study. Introduction and objectives of the hemostasis component
1Epidemiology and Biometry Program, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD 20892.
Insights
The Atherosclerosis Risk in Communities (ARIC) Study investigates atherosclerosis by measuring hemostatic factors and arterial wall thickness. This research aims to identify key etiologic factors contributing to cardiovascular disease outcomes.
Area of Science:
- Epidemiology
- Cardiovascular Research
- Biomedical Science
Background:
- The Atherosclerosis Risk in Communities (ARIC) Study is a major observational epidemiologic research initiative.
- It focuses on understanding the causes and progression of atherosclerosis and its clinical manifestations.
Purpose of the Study:
- To investigate etiologic factors associated with atherosclerosis.
- To examine the relationship between hemostatic factors and early atherosclerosis.
- To assess arterial intimal-medial wall thickness as an index of early atherosclerosis.
Main Methods:
- Prospective cohort study design involving participants aged 45-64.
- Measurement of hemostatic factors including fibrinogen, factor VII, factor VIII, and von Willebrand factor.
- Ultrasound imaging to precisely measure arterial intimal-medial wall thickness in carotid and popliteal arteries.
Main Results:
- Initial examination included 15,801 participants.
- Measurements of coagulation factors (fibrinogen, factor VII, factor VIII, von Willebrand factor) and inhibitors (protein C, antithrombin III) were collected.
- Future analyses will include coagulation activation, platelet activation, and fibrinolytic activity.
Conclusions:
- The ARIC study provides a comprehensive dataset for investigating atherosclerosis etiology.
- Hemostatic factors and arterial wall thickness are key indicators in early atherosclerosis research.
- This research contributes to understanding cardiovascular disease risk factors.
Abstract:
The Atherosclerosis Risk in Communities (ARIC) Study is an observational epidemiologic study conducted in four communities. ARIC has two major components: One records the occurrence of myocardial infarction resulting in hospitalization and coronary heart disease death in adults aged 35 to 74 living in the communities; the other is a prospective study of representative cohorts aged 45 to 64. Measurement of hemostatic factors is part of the cohort study, whose major objectives include investigating etiologic factors associated with atherosclerosis and its clinical outcomes. Arterial intimal-medial wall thickness, an index of early atherosclerosis, is measured precisely from ultrasound images of carotid and popliteal arteries. Participants (n = 15,801) completed their first examination, which included measurements of factors associated with coagulation (fibrinogen, factor VII, factor VIII, and von Willebrand factor) and coagulation inhibition (protein C and antithrombin III). Measures of coagulation activation, platelet activation, and fibrinolytic activity will be performed on stored plasma from selected case patients and control subjects.
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