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[体外低密度脂蛋白胆固醇和纤维蛋白原清除对血液流变学和微循环的急性影响]

[Acute effects of extracorporeal LDL cholesterol and fibrinogen elimination on blood rheology and microcirculation].

作者信息

Kleophas W, Leschke M, Tschöpe D, Martin J, Schauseil S, Schottenfeld Y, Strauer B E, Gries F A

机构信息

Diabetes-Forschungsinstitut, Universität Düsseldorf.

出版信息

Dtsch Med Wochenschr. 1990 Jan 5;115(1):3-7. doi: 10.1055/s-2008-1060358.

DOI:10.1055/s-2008-1060358
PMID:2295300
Abstract

Long-term intermittent heparin-induced extracorporeal low-density lipoprotein (LDL)-cholesterol precipitation was performed in three men - aged 32, 52 and 56 years - with severe familial hypercholesterolaemia and angiographically demonstrated coronary heart disease. This significantly lowered by 65-70% their LDL-cholesterol concentration and by 48-54% their fibrinogen concentration. Fibrinogen elimination reduced plasma viscosity by 13-14% and clearly raised the transcutaneously measured partial pressure of oxygen by 33-50%. Clinically the improved microcirculation achieved a decrease in angina symptoms: the walking distance of the 52-year-old man increased from about 100 m to 4000 m, the daily need of glyceryl trinitrate falling from an average of 12 to 4 aerosol doses.

摘要

对三名患有严重家族性高胆固醇血症且经血管造影证实患有冠心病的男性(年龄分别为32岁、52岁和56岁)进行了长期间歇性肝素诱导的体外低密度脂蛋白(LDL)胆固醇沉淀。这使其LDL胆固醇浓度显著降低了65 - 70%,纤维蛋白原浓度降低了48 - 54%。纤维蛋白原的清除使血浆粘度降低了13 - 14%,并明显使经皮测量的氧分压提高了33 - 50%。临床上,微循环的改善使心绞痛症状减轻:52岁男性的步行距离从约100米增加到4000米,硝酸甘油的每日需求量从平均12剂气雾剂降至4剂。

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[Acute effects of extracorporeal LDL cholesterol and fibrinogen elimination on blood rheology and microcirculation].[体外低密度脂蛋白胆固醇和纤维蛋白原清除对血液流变学和微循环的急性影响]
Dtsch Med Wochenschr. 1990 Jan 5;115(1):3-7. doi: 10.1055/s-2008-1060358.
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[Heparin-induced extracorporeal LDL precipitation (HELP) in therapy refractory hypercholesterolemia and coronary heart disease: effect on clinical and morphological regression of coronary sclerosis].
Z Kardiol. 1997;86 Suppl 1:57-64.
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Changes in myocardial vasoreactivity after drastic reduction of plasma fibrinogen and cholesterol: a clinical study in long-term heart transplant survivors using positron emission tomography.血浆纤维蛋白原和胆固醇大幅降低后心肌血管反应性的变化:一项使用正电子发射断层扫描对长期心脏移植存活者的临床研究
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[Effects of LDL-apheresis--more than reduction of cholesterol?].
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Improved haemorheology associated with a reduction in plasma fibrinogen and LDL in patients being treated by heparin-induced extracorporeal LDL precipitation (HELP).在接受肝素诱导的体外低密度脂蛋白沉淀(HELP)治疗的患者中,血液流变学改善与血浆纤维蛋白原和低密度脂蛋白降低有关。
Eur J Clin Invest. 1989 Feb;19(1):30-7. doi: 10.1111/j.1365-2362.1989.tb00192.x.
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[Extracorporeal elimination of LDL-cholesterol in the treatment of hypercholesterolemia: indications and methods].[体外清除低密度脂蛋白胆固醇治疗高胆固醇血症:适应证与方法]
Vnitr Lek. 1995 Oct;41(10):724-9.
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Importance of LDL/HDL cholesterol ratio as a predictor for coronary heart disease events in patients with heterozygous familial hypercholesterolaemia: a 15-year follow-up (1987-2002).低密度脂蛋白/高密度脂蛋白胆固醇比值作为杂合子家族性高胆固醇血症患者冠心病事件预测指标的重要性:一项15年随访研究(1987 - 2002年)
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[Heparin-induced extracorporeal LDL precipitation (HELP): a new therapeutic intervention in cerebrovascular diseases and peripheral arterial occlusive disease].[肝素诱导的体外低密度脂蛋白沉淀(HELP):脑血管疾病和外周动脉闭塞性疾病的一种新的治疗干预措施]
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Extracorporeal treatment of hypercholesterolaemia.高胆固醇血症的体外治疗
Nephrol Dial Transplant. 1993;8(9):814-20.

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