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Related Experiment Videos

Serum lipoproteins and hemostatic function in intermittent claudication

J Johansson1, N Egberg, H Johnsson

  • 1Department of Internal Medicine, Karolinska Hospital, Stockholm, Sweden.

Arteriosclerosis and Thrombosis : a Journal of Vascular Biology
|October 1, 1993
PubMed
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Men with intermittent claudication show altered lipoprotein profiles, including lower high-density lipoprotein (HDL) and elevated lipoprotein(a) [Lp(a)]. Hemostatic factors like plasminogen activator inhibitor-1 (PAI-1) and fibrinogen are also increased, indicating coagulation system activation.

Area of Science:

  • Cardiovascular Medicine
  • Hematology
  • Lipidology

Background:

  • Intermittent claudication (IC) is a manifestation of peripheral artery disease, often linked to systemic atherosclerosis.
  • Lipoprotein metabolism and hemostatic function are critical in cardiovascular health and disease progression.

Purpose of the Study:

  • To compare plasma lipoprotein and hemostatic variables between normoglucemic men with IC and matched controls.
  • To investigate correlations between lipoprotein(a) [Lp(a)] and coagulation markers.
  • To identify independent predictors of IC.

Main Methods:

  • Comparison of plasma lipoprotein profiles (including HDL subclasses and Lp(a)) and hemostatic variables (PAI-1, antiplasmin, fibrinogen, beta-thromboglobulin) between IC patients (n=41) and controls (n=75).

Related Experiment Videos

  • Correlation analyses between Lp(a), coagulation factors, and HDL subclasses.
  • Multiple regression analysis to identify independent predictors of IC.
  • Main Results:

    • IC patients exhibited lower levels of large HDL particles (HDL2b, HDL2a, HDL3a) and higher Lp(a) concentrations compared to controls.
    • Elevated levels of plasminogen activator inhibitor-1 (PAI-1), plasma antiplasmin, plasma fibrinogen, and urine beta-thromboglobulin were observed in IC patients.
    • Lp(a) correlated with plasma fibrinogen and urine fibrinopeptide A, while PAI-1 activity correlated with HDL3b and inversely with HDL2b.
    • PAI-1, plasma fibrinogen, and HDL3a were identified as independent predictors of IC (R2 = .36).
    • A subgroup of IC patients on beta-blockers/thiazides showed higher coronary heart disease frequency, elevated triglycerides, lower HDL cholesterol, and a shift towards smaller HDL particles.

    Conclusions:

    • Normoglucemic men with intermittent claudication display dyslipidemia characterized by reduced large HDL particles and increased Lp(a).
    • Abnormalities in hemostatic variables, particularly PAI-1 and fibrinogen, are associated with intermittent claudication.
    • These findings highlight the complex interplay of lipid and hemostatic factors in the pathophysiology of intermittent claudication.