Low vitamin B6 levels and the risk of recurrent venous thromboembolism

被引:19
作者
Hron, Gregor [2 ]
Lombardi, Rossana [3 ]
Eichinger, Sabine [2 ]
Lecchi, Anna [3 ]
Kyrle, Paul A. [2 ]
Cattaneo, Marco [1 ]
机构
[1] Univ Milan, Osped San Paolo, Dipartimento Med Chirurgia & Odontoiatria, Unita Ematol & Trombosi, Milan, Italy
[2] Med Univ Vienna, Dept Internal Med 1, Vienna, Austria
[3] Univ Milan, IRCCS Fdn Osped Maggiore Mangiagalli & Regina Ele, Dipartimento Med & Specialita Med, Milan, Italy
关键词
deep vein thrombosis; risk factors; pulmonary embolism; homocysteine; vitamin B6;
D O I
10.3324/haematol.11318
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Low plasma vitamin B6, measured as pyridoxal-5'-phosphate (PLP), is associated with an increased risk of first venous thromboembolism (VTE). In a prospective cohort of 757 patients with first VTE we investigated the association of PLP levels with risk of recurrent VTE. After 4 years, the likelihood of VTE recurrence was 22.5% (95% CI 13.6-31.5%) among patients with PLP <= 23.3 nmol/L and 14.4% (11.5-17.4%) among those with PLP >23.3 nmol/L (p=0.01). Patients with PLP <= 23.3 nmol/L had 1.8-fold higher recurrence risk (1.01-3.14) than patients with PLP >23.3 nmol/L (adjusted for confounders including homocysteine). Therefore, low vitamin B6 is a risk factor of recurrent VTE.
引用
收藏
页码:1250 / 1253
页数:4
相关论文
共 20 条
[11]  
Friso S, 2001, CIRCULATION, V103, P2788
[12]   The risk of recurrent venous thromboembolism in men and women [J].
Kyrle, PA ;
Minar, E ;
Bialonczyk, C ;
Hirschl, M ;
Weltermann, A ;
Eichinger, S .
NEW ENGLAND JOURNAL OF MEDICINE, 2004, 350 (25) :2558-2563
[13]  
Lonn E, 2006, NEW ENGL J MED, V354, P1567, DOI 10.1056/NEJMoa060900
[14]   Aspirin resistance: Position paper of the working group on aspirin resistance [J].
Michelson, AD ;
Cattaneo, M ;
Eikelboom, JW ;
Gurbel, P ;
Kottke-Marchant, K ;
Kunicki, TJ ;
Pulcinelli, FM ;
Cerletti, C ;
Rao, AK .
JOURNAL OF THROMBOSIS AND HAEMOSTASIS, 2005, 3 (06) :1309-1311
[15]   Hyperhomocysteinemia and low B vitamin levels are independently associated with venous thromboembolism:: results from the EDITH study:: a hospital-based case-control study [J].
Oger, E ;
Lacut, K ;
Le Gal, G ;
Couturaud, F ;
Guénet, D ;
Abalain, JH ;
Roguedas, AM ;
Mottier, D .
JOURNAL OF THROMBOSIS AND HAEMOSTASIS, 2006, 4 (04) :793-799
[16]   Red blood cell methylfolate and plasma homocysteine as risk factors for venous thromboembolism:: a matched case-control study [J].
Quéré, I ;
Perneger, TV ;
Zittoun, J ;
Bellet, H ;
Gris, JC ;
Daurés, JP ;
Schved, JF ;
Mercier, E ;
Laroche, JP ;
Dauzat, M ;
Bounameaux, H ;
Janbon, C ;
de Moerloose, P .
LANCET, 2002, 359 (9308) :747-752
[17]  
Saibeni S, 2003, AM J GASTROENTEROL, V98, P112, DOI 10.1111/j.1572-0241.2003.07160.x
[18]   Lowering homocysteine in patients with ischemic stroke to prevent recurrent stroke, myocardial infarction, and death - The Vitamin Intervention for Stroke Prevention (VISP) randomized controlled trial [J].
Toole, JF ;
Malinow, MR ;
Chambless, LE ;
Spence, JD ;
Pettigrew, LC ;
Howard, VJ ;
Sides, EG ;
Wang, CH ;
Stampfer, M .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 291 (05) :565-575
[19]   THE INVIVO EFFECT IN HUMANS OF PYRIDOXAL-5'-PHOSPHATE ON PLATELET-FUNCTION AND BLOOD-COAGULATION [J].
VANWYK, V ;
LUUS, HG ;
HEYNS, AD .
THROMBOSIS RESEARCH, 1992, 66 (06) :657-668
[20]   Vascular outcome in patients with homocystinuria due to cystathionine β-synthase deficiency treated chronically -: A multicenter observational study [J].
Yap, S ;
Boers, GHJ ;
Wilcken, B ;
Wilcken, DEL ;
Brenton, DP ;
Lee, PJ ;
Walter, JH ;
Howard, PM ;
Naughten, ER .
ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY, 2001, 21 (12) :2080-2085