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Ultrasound Assessment of Endothelial-Dependent Flow-Mediated Vasodilation of the Brachial Artery in Clinical Research
Published on: October 22, 2014
Plasma lipids and blood viscosity in patients with cerebrovascular disease
Irena Velcheva1, Nadia Antonova, Valentina Dimitrova
1Department of Neurology, Medical University, 1, Ljuben Russev str., 1113 Sofia, Bulgaria. ivelcheva@yahoo.com
Insights
Elevated plasma triglycerides (Tg) significantly impair blood fluidity and cerebral circulation in patients with cerebrovascular disease (CVD). This study highlights Tg
Area of Science:
- Cardiovascular Medicine
- Neurology
- Hematology
Background:
- Plasma lipids are known to elevate cerebrovascular risk by altering hemorheological profiles.
- Understanding the interplay between lipids and blood flow is crucial for managing cerebrovascular disease (CVD).
Purpose of the Study:
- To investigate the relationship between blood viscosity parameters and plasma lipid levels in patients with cerebrovascular disease.
- To assess hemorheological changes in patients with transient ischemic attacks (TIAs), chronic unilateral cerebral infarctions (UCI), and cerebrovascular risk factors (RF).
Main Methods:
- Whole blood viscosity (WBV), plasma viscosity (PV), hematocrit (Hct), fibrinogen (Fib), Cholesterol (Chol), triglycerides (Tg), and high-density lipoproteins (HDL) were measured.
- Measurements were taken in 43 TIAs patients, 53 UCI patients, 57 RF patients, and 56 healthy controls.
- Viscosity was assessed using Couette rotational and capillary viscometers.
Main Results:
- Increased Hct, Fib, WBV, and PV were observed in TIAs and UCI patients, with more pronounced changes in UCI.
- Elevated Hct and WBV were significant in the RF group.
- Cholesterol and triglyceride levels were higher in UCI patients and the RF group, correlating significantly with PV in TIAs and RF groups.
Conclusions:
- Plasma triglycerides play a significant role in reducing blood fluidity.
- Elevated triglycerides contribute to impaired cerebral circulation in patients with cerebrovascular disease.
- These findings underscore the importance of managing lipid profiles for cerebrovascular health.
Abstract:
It is known that plasma lipids could increase the cerebrovascular risk through alteration of the hemorheological profile. The aim of the study was to evaluate the relationship between blood viscosity parameters and plasma lipids in patients with cerebrovascular disease (CVD). The study included 43 patients with transient ischemic attacks (TIAs), 53 patients with chronic unilateral cerebral infarctions (UCI) and 57 patients with risk factors (RF) for CVD. Whole blood viscosity (WBV) at different shear rates by Couette rotational viscometer Contraves Low Shear 30, plasma viscosity (PV) with capillary viscometer, hematocrit (Hct), fibrinogen (Fib), Cholesterol (Chol), triglycerides (Tg) and high-density lipoproteins (HDL) were examined in all patients and in a control group of 56 presumed healthy subjects. The hemorheological results showed increase of Hct, Fib, WBV and PV in the patients with TIAs and UCI; it was more pronounced in the UCI patients. Significant increase of Hct and WBV in the group with RF for CVD was also found. The elevation of Chol and Tg predominated in the patients with UCI and in the subjects with RF for CVD. These lipid variables correlated significantly with PV in the TIAs and RF for CVD groups. Conclusion is drawn about the significance of plasma Tg for decrease of blood fluidity and for impairment of the cerebral circulation in CVD.
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