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High-density lipoprotein and the risk of recurrent venous thromboembolism.

High-density lipoprotein and the risk of recurrent venous thromboembolism. Research Abstract Details 

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  • High-density lipoprotein and the risk of recurrent venous thromboembolism. Abstract Text:

    sabine eichingerSabine Eichinger,natalie m pecheniukNatalie M Pecheniuk,gregor hronGregor Hron,hiroshi deguchiHiroshi Deguchi,michael schemperMichael Schemper,paul a kyrlePaul A Kyrle,john h griffinJohn H Griffin,

    BACKGROUND: High-density lipoprotein (HDL) protects against arterial atherothrombosis, but it is unknown whether it protects against recurrent venous thromboembolism. METHODS AND RESULTS: We studied 772 patients after a first spontaneous venous thromboembolism (average follow-up 48 months) and recorded the end point of symptomatic recurrent venous thromboembolism, which developed in 100 of the 772 patients. The relationship between plasma lipoprotein parameters and recurrence was evaluated. Plasma apolipoproteins AI and B were measured by immunoassays for all subjects. Compared with those without recurrence, patients with recurrence had lower mean (+/-SD) levels of apolipoprotein AI (1.12+/-0.22 versus 1.23+/-0.27 mg/mL, P<0.001) but similar apolipoprotein B levels. The relative risk of recurrence was 0.87 (95% CI, 0.80 to 0.94) for each increase of 0.1 mg/mL in plasma apolipoprotein AI. Compared with patients with apolipoprotein AI levels in the lowest tertile (<1.07 mg/mL), the relative risk of recurrence was 0.46 (95% CI, 0.27 to 0.77) for the highest-tertile patients (apolipoprotein AI >1.30 mg/mL) and 0.78 (95% CI, 0.50 to 1.22) for midtertile patients (apolipoprotein AI of 1.07 to 1.30 mg/mL). Using nuclear magnetic resonance, we determined the levels of 10 major lipoprotein subclasses and HDL cholesterol for 71 patients with recurrence and 142 matched patients without recurrence. We found a strong trend for association between recurrence and low levels of HDL particles and HDL cholesterol. CONCLUSIONS: Patients with high levels of apolipoprotein AI and HDL have a decreased risk of recurrent venous thromboembolism.

    High-density lipoprotein and the risk of recurrent venous thromboembolism. Publishing Authors By Initials

    s eichingerS Eichinger,nm pecheniukNM Pecheniuk,g hronG Hron,h deguchiH Deguchi,m schemperM Schemper,pa kyrlePA Kyrle,jh griffinJH Griffin,

    For similar cardiovascular diseases: vascular diseases: embolism and thrombosis: thrombosis: venous thrombosis research abstracts see: cardiovascular diseases: vascular diseases: embolism and thrombosis: thrombosis: venous thrombosis research

    PUBMED ID PMID:

    MEDLINE DATE:

    High-density lipoprotein and the risk of recurrent venous thromboembolism. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: Circulation

    VOLUME: 115

    Page Numbers: 1609-14

    Journal Abbreviation: Circulation

    ISSN: 1524-4539

    DAY: 19

    MONTH: 03

    YEAR: 2007

    High-density lipoprotein and the risk of recurrent venous thromboembolism. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 147763

    High-density lipoprotein and the risk of recurrent venous thromboembolism. Keywords Mesh Terms:

    KEYWORDS: Venous Thrombosis

    MESH TERMS: epidemiology

    Chemical & Substance for Abstract: High-density lipoprotein and the risk of recurrent venous thromboembolism. Information

    Substance Name: Lipoproteins, HDL

    Registry Number: 0

    Grant and Affiliation Information for High-density lipoprotein and the risk of recurrent venous thromboembolism.

    AFFILIATION: Department of Internal Medicine I, Medical University of Vienna, Vienna, Austria.

    Country: United States

    United States Research PublicationUnited States Research Publication

    AGENCY: United States NHLBI

    GRANT: HL52246

    ACRONYM: HL

    MEDLINETA: Circulation

    REFSOURCE:

    DATABASENAME:

    ACCESSION NUMBER:

    Number Hits: 0

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