The Hemostatic System in Patients With Type 2 Diabetes With and Without Cardiovascular Disease

被引:23
|
作者
Verkleij, Chantal J. N. [1 ]
de Bruijn, Roderick E. [2 ]
Meesters, Eelco W. [2 ]
Gerdes, Victor E. A. [2 ,3 ]
Meijers, Joost C. M. [1 ,3 ]
Marx, Pauline F. [1 ]
机构
[1] Univ Amsterdam, Acad Med Ctr, Dept Expt Vasc Med, NL-1100 DD Amsterdam, Netherlands
[2] Slotervaart Hosp, Dept Internal Med, Amsterdam, Netherlands
[3] Univ Amsterdam, Acad Med Ctr, Dept Vasc Med, NL-1100 DD Amsterdam, Netherlands
关键词
cardiovascular disease; coagulation; fibrinolysis; hemostasis; type 2 diabetes mellitus; PLASMINOGEN-ACTIVATOR INHIBITOR; VON-WILLEBRAND-FACTOR; 1ST-DEGREE RELATIVES; INSULIN; PLASMA; NIDDM; COMPLICATIONS; COAGULATION; FIBRINOGEN; RISK;
D O I
10.1177/1076029610384112
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The contribution of the hemostatic system in the development of cardiovascular disease (CVD) in patients with type 2 diabetes is not completely defined. The aim of this study was to elucidate associations of hemostatic factors with the development of CVD in patients with type 2 diabetes. Patients with type 2 diabetes without CVD (n = 113), with CVD (n = 94), and controls without CVD (n = 100) were enrolled in this study. Several hemostatic markers were measured. A disturbed hemostatic balance in patients with type 2 diabetes was observed as illustrated by hypofibrinolysis and increased levels of von Willebrand factor (vWF) and plasminogen-activator inhibitor 1 (PAI-1). Patients with type 2 diabetes with CVD have more thrombin generation compared to patients without CVD. This hemostatic imbalance might contribute to the development of CVD in patients with type 2 diabetes.
引用
收藏
页码:E57 / E63
页数:7
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