Long-term effects of low molecular weight heparin on lipid parameters in hemodialysis patients

dc.contributor.authorElisaf, M. S.en
dc.contributor.authorBairaktari, H.en
dc.contributor.authorGermanos, N.en
dc.contributor.authorPappas, M.en
dc.contributor.authorKoulouridis, E.en
dc.contributor.authorPapagalanis, N.en
dc.contributor.authorSiamopoulos, K. C.en
dc.date.accessioned2015-11-24T19:06:28Z
dc.date.available2015-11-24T19:06:28Z
dc.identifier.issn0392-9590-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/20342
dc.rightsDefault Licence-
dc.subjectAdolescenten
dc.subjectAdulten
dc.subjectAnticoagulants/*administration & dosageen
dc.subjectApolipoproteins B/blooden
dc.subjectChilden
dc.subjectCholesterol, HDL/blooden
dc.subjectFemaleen
dc.subjectHeparin, Low-Molecular-Weight/*administration & dosageen
dc.subjectHumansen
dc.subjectLipids/*blooden
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectProspective Studiesen
dc.subject*Renal Dialysisen
dc.subjectTriglycerides/blooden
dc.titleLong-term effects of low molecular weight heparin on lipid parameters in hemodialysis patientsen
heal.abstractOBJECTIVE: The long-term effects of the replacement of conventional heparin by low-molecular weight heparin (LMWH) on lipid parameters were examined in a large group of hemodialysis patients. EXPERIMENTAL DESIGN: One-year prospective investigation. SETTING: Renal units. PATIENTS: A total of 93 patients aged 12-63 years old receiving hemodialysis for 51 (1-172) months were studied. None of the patients had primary hyperlipidemia, diabetes mellitus, or other secondary causes of dyslipidemia. INTERVENTIONS: In all patients administration of LMWH was introduced in doses 2500-5000 units. MEASURES: Baseline values of lipoprotein profile prior to the intervention were compared with results obtained after 3, 6 and 12 months of LMWH. RESULTS: During of LMWH treatment a small but statistically significant decrease of total and HDL cholesterol (from 200 +/- 45 mg/dl to 185 +/- 42 mg/dl, p < 0.01, and from 45 +/- 11 mg/dl to 42 +/- 10 mg/dl, p < 0.05, respectively), as well as Apo B (from 128 +/- 36 mg/dl to 121 +/- 35 mg/dl, p < 0.001) was noticed. Moreover, triglycerides decreased significantly (from 175 +/- 73 mg/dl to 146 +/- 62 mg/dl, p < 0.001). The beneficial effects of LMWH were more pronounced in patients with dyslipidemia (total cholesterol > 200 mg/dl, or triglycerides > 200 mg/dl) before the replacement of conventional heparin. CONCLUSION: The long-term use of LMWH instead of conventional heparin for anticoagulation during dialysis has beneficial effects on the lipoprotein profile, especially in patients with dyslipidemia.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/8971586-
heal.journalNameInt Angiolen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate1996-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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