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Published on: June 15, 2011
Relation between preclinical atherosclerosis and venous thromboembolism in patients with thrombophilias -
O Auzký1, R Dembovská, J Mrázková
1Laboratory for Atherosclerosis Research, Institute for Clinical and Experimental Medicine, Prague, Czech Republic. auzky@seznam.cz.
Insights
Patients with thrombophilia and a history of venous thromboembolism (VTE) did not show greater atherosclerosis progression than those without VTE history. Both groups experienced unfavorable changes in body mass index and blood pressure.
Area of Science:
- Cardiovascular Medicine
- Hematology
- Vascular Biology
Background:
- Preclinical atherosclerosis is a potential risk factor for venous thromboembolism (VTE).
- Understanding the relationship between atherosclerosis progression and VTE history in thrombophilia patients is crucial.
Purpose of the Study:
- To investigate the progression of preclinical atherosclerosis in patients with thrombophilia, comparing those with and without a history of VTE.
- To assess changes in traditional atherosclerosis risk factors in these patient groups over time.
Main Methods:
- A longitudinal study followed 96 patients with thrombophilia (51 with VTE history, 45 without).
- Preclinical atherosclerosis was assessed using ultrasound and the Belcaro score.
- Changes in body mass index, waist circumference, and blood pressure were monitored.
Main Results:
- No significant change in preclinical atherosclerosis (Belcaro score) was observed in either group over a mean follow-up of 56 months.
- Both groups showed a significant increase in body mass index and a non-significant increase in systolic blood pressure.
- Waist circumference increased significantly only in patients without a history of VTE.
Conclusions:
- Patients with thrombophilia and a history of VTE do not exhibit greater atherosclerosis progression or increased traditional risk factors compared to those without VTE history.
- Both groups experienced unfavorable changes in body mass index, waist circumference, and blood pressure during the study period.
Abstract:
Preclinical atherosclerosis may represent a risk factor for venous thromboembolism (VTE). In longitudinal study we followed longitudinally 96 patients (32 men) with thrombophilias with (n=51) and without (n=45) history of VTE. In both groups we studied the changes of preclinical atherosclerosis at peripherally located arteries detected by ultrasound. In addition, we assessed changes in selected risk factors of atherosclerosis. During the mean follow-up of 56.0+/-7.62 months we did not find significant change in preclinical atherosclerosis defined as Belcaro score in either group (-3 % in the VTE group vs 0 % in non VTE group). Significant increase in body mass index (1.03+/-1.98 kg*m(-2), resp. 1.21+/-1.67 kg*m(-2), p<0.01) and non-significant increase in systolic blood pressure were detected in both groups. Waist circumference increased significantly only in patients without VTE (4.11+/-7.84 cm, p<0.05). No differences in changes of risk factors under study between both groups were detected. In summary, patients with thrombophilia and history of VTE showed no evidence of greater progression of atherosclerosis or increase in traditional risk factors of atherosclerosis than patients with thrombophilia without history of VTE. Unfavorable changes of body mass index, waist circumference and systolic blood pressure were detected in both groups during study period.
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