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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2002-11-12
pubmed:abstractText
Venous thrombosis is a multicausal disease involving acquired and genetic factors. In this study we investigated a possible interaction between hyperhomocysteinemia (fasting or postload) and factor V Leiden or prothrombin G20210A on the risk of recurrent venous thrombosis. We also looked at the risk due to mutations in the MTHFR-gene (C677T and A1298C). We performed a case-control study in 171 patients with a history of recurrent venous thrombosis and 461 control subjects from the general population. Hyperhomocysteinemia (fasting or 6 h after an oral methionine load) was defined as a homocysteine concentration above the 90th percentile of the distributions in the control group. The odds ratio (adjusted for age and sex) for recurrent venous thrombosis was 1.8 (95% CI: 1.1 to 3.0) for fasting hyperhomocysteinemia, 5.1 (95% CI: 3.0 to 8.6) for factor V Leiden and 1.8 (95% CI: 0.7 to 4.2) for prothrombin G20210A. We found 14 patients and 3 controls with both hyperhomocysteinemia and factor V Leiden, which yielded an odds ratio of 11.6 (95% CI: 3.2 to 42.5). We found no interaction between hyperhomocysteinemia and prothrombin G20210A. The relative risk for MTHFR 677CT was 1.6 (95% CI: 1.1 to 2.4) and for MTHFR 677TT was 1.4 (95% CI: 0.7 to 2.8). The combined risk for MTHFR 677TT and factor V Leiden was 18.7 (95% CI: 3.3 to 108). We conclude that hyperhomocysteinemia and factor V Leiden are risk factors for recurrent venous thrombosis. The risk of thrombosis appeared high for individuals who had both risk factors.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0340-6245
pubmed:author
pubmed:issnType
Print
pubmed:volume
88
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
723-8
pubmed:dateRevised
2005-11-17
pubmed:meshHeading
pubmed-meshheading:12428084-Adult, pubmed-meshheading:12428084-Aged, pubmed-meshheading:12428084-Aged, 80 and over, pubmed-meshheading:12428084-Case-Control Studies, pubmed-meshheading:12428084-Factor V, pubmed-meshheading:12428084-Family Health, pubmed-meshheading:12428084-Female, pubmed-meshheading:12428084-Humans, pubmed-meshheading:12428084-Hyperhomocysteinemia, pubmed-meshheading:12428084-Male, pubmed-meshheading:12428084-Methylenetetrahydrofolate Reductase (NADPH2), pubmed-meshheading:12428084-Middle Aged, pubmed-meshheading:12428084-Odds Ratio, pubmed-meshheading:12428084-Oxidoreductases Acting on CH-NH Group Donors, pubmed-meshheading:12428084-Point Mutation, pubmed-meshheading:12428084-Prothrombin, pubmed-meshheading:12428084-Recurrence, pubmed-meshheading:12428084-Risk Factors, pubmed-meshheading:12428084-Thrombophilia, pubmed-meshheading:12428084-Venous Thrombosis
pubmed:year
2002
pubmed:articleTitle
Interaction between hyperhomocysteinemia, mutated methylenetetrahydrofolatereductase (MTHFR) and inherited thrombophilic factors in recurrent venous thrombosis.
pubmed:affiliation
Department of Endocrinology, University Medical Center Nijmegen, 6500 HB Nijmegen, The Netherlands.
pubmed:publicationType
Journal Article