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Associations between plasma fibrinogen levels and cardiovascular risk factors in hypertensive men
1Department of Internal Medicine and Therapeutics, University of Pavia, Italy.
Insights
Plasma fibrinogen levels are elevated in hypertensive patients and correlate with cardiovascular risk factors like smoking and high cholesterol. Family history may enhance this association.
Area of Science:
- Cardiovascular Medicine
- Clinical Chemistry
Background:
- Elevated fibrinogen levels are observed in hypertensive patients.
- Fibrinogen often clusters with other cardiovascular risk factors.
Purpose of the Study:
- To investigate the relationship between plasma fibrinogen and cardiovascular risk factors in essential hypertension.
Main Methods:
- Studied 118 men (18-65 years) with essential hypertension.
- Measured blood pressure, plasma fibrinogen, total cholesterol, HDL cholesterol, triglycerides, and blood glucose.
- Collected medical and personal habits history.
Main Results:
- Fibrinogen levels were higher in smokers, with a positive correlation to cigarette consumption.
- Higher fibrinogen levels were associated with total cholesterol > 220 mg/dl.
- Significant positive correlations found between fibrinogen and total cholesterol, triglycerides, and total-cholesterol/HDL-cholesterol ratio.
Conclusions:
- Plasma fibrinogen is positively associated with several cardiovascular risk factors in hypertensive patients.
- A family history of hypertension may amplify fibrinogen's association with risk factors.
Background:
Fibrinogen levels are reported to be elevated in hypertensive patients and tend to cluster with nearly all other established cardiovascular risk factors. The aim of this study was to evaluate the relationship between plasma fibrinogen and a number of other cardiovascular risk factors in patients with essential hypertension.
Methods:
We studied 118 men with essential hypertension, aged 18-65 years. The clinical evaluation included measurements of blood pressure (mercury sphygmomanometer, Korotkoff I and V), levels of plasma fibrinogen, total cholesterol, high-density-lipoprotein (HDL) cholesterol, triglycerides and blood glucose and the ratio of total-cholesterol to HDL-cholesterol levels; a detailed history of medical and personal habits was also recorded.
Results:
As expected, plasma fibrinogen levels were significantly higher in smokers than in non-smokers, with the number of cigarettes smoked correlating positively with the fibrinogen level. Patients with a total-cholesterol level in excess of 220 mg/dl had significantly higher fibrinogen levels, and both univariate and multivariate analyses showed total-cholesterol and fibrinogen levels to be positively correlated. A weaker but significant relationship was noted between the fibrinogen level and triglyceride levels (P = 0.0017) and between the fibrinogen level and the ratio of total-cholesterol to HDL-cholesterol levels (P = 0.0006). Fibrinogen levels were not significantly associated with either systolic or diastolic blood pressures.
Conclusion:
A family history of hypertension appears to potentiate the tendency of fibrinogen to cluster with other cardiovascular risk factors in hypertensive patients.
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