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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1996-3-22
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pubmed:abstractText |
Beside the anticoagulant and antithrombotic activity, heparin also exerts a lipolytic activity. In a prospective study on patients with venous thromboembolism and some contraindications to coumarin therapy, a low-molecular-weight heparin (Fragmin) was compared to unfractioned (UF) heparin in terms of both efficacy and safety. A secondary aim was to study the influence of both types of heparin on serum lipid levels. Sixty-six consecutive patients who were not taking concomitant treatment with lipid-lowering drugs entered the study. Patients received treatment with either UF heparin, 10,000 IU s.c., b.d., or Fragmin 5,000 IU anti-factor Xa s.c., b.d. for a period of 3 or 6 months, according to whether the initial diagnosis was deep venous thrombosis or pulmonary embolism. Each patient was followed up at 6-weekly intervals, and blood samples were obtained at discharge, and then 6 and 12 weeks after discharge. Finally, a further sample was obtained 3 months after therapy was discontinued. Total cholesterol levels increased significantly in both groups of patients: levels increased from 193 +/- 56 to 246 +/- 63 mg/dl in the UF heparin group (p < 0.001), and from 189 +/- 53 to 222 +/- 47 mg/dl in the Fragmin group (p < 0.05). The increase was mostly due to a very strong increase in HDL cholesterol levels in patients receiving UF heparin (from 46 +/- 12 to 71 +/- 23 mg/dl; p < 0.000005). Three months after discharge, HDL cholesterol levels were significantly higher in patients taking UF heparin than in patients in Fragmin (p = 0.006). By contrast, patients on Fragmin exhibited a significant increase in LDL cholesterol levels: from 112 +/- 39 to 139 +/- 37 mg/dl; p < 0.01.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Cholesterol,
http://linkedlifedata.com/resource/pubmed/chemical/Coumarins,
http://linkedlifedata.com/resource/pubmed/chemical/Dalteparin,
http://linkedlifedata.com/resource/pubmed/chemical/Heparin,
http://linkedlifedata.com/resource/pubmed/chemical/Hypolipidemic Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Lipids,
http://linkedlifedata.com/resource/pubmed/chemical/Triglycerides,
http://linkedlifedata.com/resource/pubmed/chemical/coumarin
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pubmed:status |
MEDLINE
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pubmed:issn |
0301-0147
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
25
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
283-7
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:8586319-Adult,
pubmed-meshheading:8586319-Aged,
pubmed-meshheading:8586319-Aged, 80 and over,
pubmed-meshheading:8586319-Cholesterol,
pubmed-meshheading:8586319-Coumarins,
pubmed-meshheading:8586319-Dalteparin,
pubmed-meshheading:8586319-Female,
pubmed-meshheading:8586319-Heparin,
pubmed-meshheading:8586319-Humans,
pubmed-meshheading:8586319-Hypolipidemic Agents,
pubmed-meshheading:8586319-Lipids,
pubmed-meshheading:8586319-Male,
pubmed-meshheading:8586319-Middle Aged,
pubmed-meshheading:8586319-Prospective Studies,
pubmed-meshheading:8586319-Thromboembolism,
pubmed-meshheading:8586319-Time Factors,
pubmed-meshheading:8586319-Triglycerides
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pubmed:articleTitle |
Effects of long-term therapy with either heparin or low-molecular-weight heparin on serum lipid levels. A prospective study.
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pubmed:affiliation |
Servicio de Medicina Interna, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial
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