Andrei Maria-Cristina, Andercou Aurel
Emergency County Clinical Hospital, Clinic of Surgery II, Cluj-Napoca, Romania.
Maedica (Bucur). 2014 Mar;9(1):94-7.
Venous and arterial thromboses have traditionnally been regarded as separate diseases with different causes. Clinical experience shows, that the arterial atherothrombotic disease can be associated with venous thrombotic disease, but there is insufficient evidence to prove and explain the nature of this association.This review focuses on the risk factors associated with both arterial and venous thrombotic events, and recent epidemiological studies have documented an association between these vascular complications.According to the results of recent studies, atherosclerosis and venous thrombosis share common risk factors, including age, obesity, cigarette smoking, and metabolic syndrome.Several studies have demonstrated that subjects with idiopathic venous thrombosis have an increased risk of cardiovascular events compared with subjects with secondary thrombosis or control group. On the other hand, atherosclerosis has the potential to promote the development of thrombotic disorders in the venous system. Based on the results of population studies carried out in the United States, atherosclerosis is unlikely to constitute a risk factor for venous thrombosis. In conclusion, the separate nature of arterial and venous disorders has been challenged. Future studies are needed to clarify the nature of this association, and to evaluate its implications for clinical practice.
传统上,静脉血栓形成和动脉血栓形成被视为由不同病因引起的两种独立疾病。临床经验表明,动脉粥样血栓形成性疾病可能与静脉血栓形成性疾病相关,但尚无足够证据来证实和解释这种关联的本质。本综述聚焦于与动脉和静脉血栓形成事件相关的危险因素,近期的流行病学研究已证实了这些血管并发症之间存在关联。根据近期研究结果,动脉粥样硬化和静脉血栓形成具有共同的危险因素,包括年龄、肥胖、吸烟和代谢综合征。多项研究表明,与继发性血栓形成患者或对照组相比,特发性静脉血栓形成患者发生心血管事件的风险更高。另一方面,动脉粥样硬化有可能促进静脉系统血栓形成性疾病的发展。基于在美国开展的人群研究结果,动脉粥样硬化不太可能构成静脉血栓形成的危险因素。总之,动脉和静脉疾病的独立性已受到挑战。未来需要开展研究以阐明这种关联的本质,并评估其对临床实践的影响。