降低凝结能力对动脉动脉产生没有临床相关的影响:在遗传性出血倾向的个体中观察到的观察结果
A Srámek1, J H Reiber, W B Gerrits
1Department of Clinical Epidemiology, Leiden University Medical Center, Leiden.
Circulation
|August 15, 2001
概括
患有血友病和·维勒布兰德病等遗传性出血障碍的人对动脉样硬化发展的保护是微不足道的. 它们降低的凝血能力对这种心血管疾病的进展的影响有限.
科学领域:
- 心血管疾病的研究研究.
- 血液学 血液学 血液学
- 动脉样硬化病原体的产生
背景情况:
- 血液静止在动脉血栓形成中起着关键作用,影响缺血性心血管疾病.
- 新出现的证据表明,血液静止也可能影响动脉生成.
- 这项研究探讨了遗传性出血倾向是否能提供对动脉样硬化的保护.
研究的目的:
- 研究遗传性出血倾向对动脉样硬化发展的潜在保护作用.
- 与健康对照人群相比,在患有出血障碍的人群中量化早期动脉样硬化变化.
主要方法:
- B模式超声波用于测量动脉和大腿动脉内心介质厚度.
- 研究包括76名遗传性出血倾向 (血友病,·维勒布兰德病) 的个人和142名健康对照.
- 测量结果与77名经过验证的动脉样硬化症患者和34名健康对照人进行了验证.
主要成果:
- 在动脉样硬化患者和对照人群 (大腿动脉:0.53毫米) 之间观察到亲密介质厚度的显著差异.
- 患有出血倾向的个体在股骨动脉内心介质厚度 (调整后的差异: -0.078毫米) 中仅呈现微小的减少.
- 中度至重度血友病患者表现出最薄的血管壁.
结论:
- 与血友病或·威尔布兰德病相关的低凝血性提供了对动脉动脉发生的有限保护.
- 出血障碍对动脉样硬化进展的影响似乎很小.
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