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.

Related Concept Videos

Viscosity01:17

Viscosity

When water is poured into a glass, it falls freely and quickly, whereas if honey or maple syrup is poured over a pancake, it flows slowly and sticks to the surface of the container. This difference in the flow of different kinds of liquids arises due to the fluid friction between the liquid layers and the liquid and the surrounding material. This property of fluids is called fluid viscosity. In this example, water has a lower viscosity than honey and maple syrup.
The SI unit of viscosity is...
Vascular Resistance01:20

Vascular Resistance

Vascular resistance is a critical concept in understanding blood flow dynamics in the circulatory system. It refers to the resistance that blood encounters as it flows through the blood vessels. This resistance is a key factor in determining blood pressure and cardiac workload.
The primary determinants of vascular resistance are vessel diameter, blood viscosity, and vessel length. Among these, vessel diameter plays the most significant role due to the fourth power relationship described by...
Blood Studies for Cardiovascular System III: Serum Lipid Profile01:25

Blood Studies for Cardiovascular System III: Serum Lipid Profile

Understanding serum lipids is crucial for maintaining cardiovascular health and preventing heart disease and stroke.
Serum lipids are fats and fatty substances in the blood and are crucial for various bodily functions, including energy storage, cellular structure, and hormone production. Serum lipids consist of cholesterol, triglycerides, and phospholipids.
Cholesterol is a soft, fat-like substance found in all body cells. It is crucial for producing hormones, vitamin D, and substances that aid...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
Applications of Integration to Find Blood Flow01:27

Applications of Integration to Find Blood Flow

Blood flow through a cylindrical blood vessel can be mathematically described using the principles of laminar flow, a regime in which fluid moves smoothly in parallel layers. In this model, the velocity of the blood is not uniform across the cross-section of the vessel; rather, it varies with the radial distance from the center. The maximum velocity occurs along the central axis, decreasing progressively toward the vessel walls, where it reaches zero due to viscous drag.Approximating Blood...
Cerebral Edema ll: Pathophysiology01:22

Cerebral Edema ll: Pathophysiology

Vasogenic edema is a major form of cerebral edema characterized by abnormal accumulation of fluid in the brain’s extracellular space due to disruption of the blood–brain barrier (BBB). The BBB is a specialized structure composed of endothelial cells connected by tight junctions, supported by astrocytic endfeet and a basement membrane. Under normal conditions, it tightly regulates the movement of ions, proteins, and solutes between the bloodstream and brain parenchyma. When this barrier loses...