HEMORHEOLOGIC AND COAGULATIVE PATTERN IN HYPERCHOLESTEROLEMIC SUBJECTS TREATED WITH LIPID-LOWERING DRUGS

被引:64
作者
BO, M [1 ]
BONINO, F [1 ]
NEIROTTI, M [1 ]
GOTTERO, M [1 ]
PERNIGOTTI, L [1 ]
MOLASCHI, M [1 ]
FABRIS, F [1 ]
机构
[1] UNIV TURIN,INST GERONTOL,I-10124 TURIN,ITALY
关键词
D O I
10.1177/000331979104200204
中图分类号
R6 [外科学];
学科分类号
1002 [临床医学]; 100210 [外科学];
摘要
The effects on the coagulative and rheologic pattern of two lipid-lowering drugs, bezafibrate and simvastatin, were studied in 36 hypercholesterolemic subjects. Patients were randomly divided into two groups (18 subjects each) and received bezafibrate R 400 mg/day or simvastatin 10-40 mg/day over a twelve week period. Besides a decrease in plasma fibrinogen and fibrinopeptide A (p < 0.001 both), bezafibrate induced a reduction of factor VIIc and VIIIc activity (p < 0.001 both), while antithrombin 3 activity was increased (p < 0.001) and the hemorheologic pattern was greatly improved (p < 0.001). Simvastatin caused a slight decrease in factor VIIIc activity and a moderate reduction of beta-thromboglobulin. The efficacy of bezafibrate in reducing the activation of the coagulative cascade and improving the hemorheologic pattern has been confirmed; the peculiar triglycerides- and fibrinogen-lowering effect of the drug, not observed with simvastatin, could be responsible for these modifications.
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页码:106 / 113
页数:8
相关论文
共 21 条
[1]
BAKER IA, 1982, BRIT HEART J, V47, P470
[2]
INTERRELATIONSHIP OF PLASMA TRIGLYCERIDE AND COAGULANT FACTOR-VII LEVELS IN NORMOTRIGLYCERIDEMIC HYPERCHOLESTEROLEMIA [J].
BRUCKERT, E ;
DESOUSA, JC ;
GIRAL, P ;
SORIA, C ;
CHAPMAN, MJ ;
CAEN, J ;
DEGENNES, JL .
ATHEROSCLEROSIS, 1989, 75 (2-3) :129-134
[3]
THE EFFECTS OF CLOFIBRATE ON PLASMA-GLUCOSE, LIPOPROTEINS, FIBRINOGEN, AND OTHER BIOCHEMICAL AND HEMATOLOGICAL VARIABLES IN PATIENTS WITH MATURE ONSET DIABETES-MELLITUS [J].
CALVERT, GD ;
BLIGHT, L ;
FRANKLIN, J ;
OLIVER, J ;
WISE, P ;
GALLUS, AS .
EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY, 1980, 17 (05) :355-362
[4]
EFFECTS OF SYNVINOLIN ON PLATELET-AGGREGATION AND THROMBOXANE-B2 SYNTHESIS IN TYPE-IIA HYPERCHOLESTEROLEMIC PATIENTS [J].
DAVI, G ;
AVERNA, M ;
NOVO, S ;
BARBAGALLO, CM ;
MOGAVERO, A ;
NOTARBARTOLO, A ;
STRANO, A .
ATHEROSCLEROSIS, 1989, 79 (01) :79-83
[5]
DIPERRI T, 1979, ANGIOLOGY, V30, P480, DOI 10.1177/000331977903000706
[6]
DORMANDY JA, 1982, PRACTITIONER, V226, P1743
[7]
EFFECT OF TREATMENT OF HYPERLIPEMIA ON HEMOSTATIC VARIABLES [J].
ELKELES, RS ;
CHAKRABARTI, R ;
VICKERS, M ;
STIRLING, Y ;
MEADE, TW .
BRITISH MEDICAL JOURNAL, 1980, 281 (6246) :973-974
[8]
INFLUENCE OF HYPERCHOLESTEROLEMIA ON MORPHOLOGICAL AND RHEOLOGICAL CHARACTERISTICS OF ERYTHROCYTES [J].
KANAKARAJ, P ;
SINGH, M .
ATHEROSCLEROSIS, 1989, 76 (2-3) :209-218
[9]
HEMOSTATIC FUNCTION AND ISCHEMIC-HEART-DISEASE - PRINCIPAL RESULTS OF THE NORTHWICK-PARK-HEART-STUDY [J].
MEADE, TW ;
BROZOVIC, M ;
CHAKRABARTI, RR ;
HAINES, AP ;
IMESON, JD ;
MELLOWS, S ;
MILLER, GJ ;
NORTH, WRS ;
STIRLING, Y ;
THOMPSON, SG .
LANCET, 1986, 2 (8506) :533-537
[10]
FAT CONSUMPTION AND FACTOR-VII COAGULANT ACTIVITY IN MIDDLE-AGED MEN - AN ASSOCIATION BETWEEN A DIETARY AND THROMBOGENIC CORONARY RISK FACTOR [J].
MILLER, GJ ;
CRUICKSHANK, JK ;
ELLIS, LJ ;
THOMPSON, RL ;
WILKES, HC ;
STIRLING, Y ;
MITROPOULOS, KA ;
ALLISON, JV ;
FOX, TE ;
WALKER, AO .
ATHEROSCLEROSIS, 1989, 78 (01) :19-24