Endothelial Function in Patients With Von Willebrand Disease

In patients with von Willebrand disease (vWD) the interest in age-related comorbidities has grown, because the life expectancy of these patients has increased. The research question of this study was whether patients with vWD show a different endothelial function compared to the general population....

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Main Authors: Stephanie Noone MD, Ralf Schubert MSc, PhD, Stephan Fichtlscherer MD, PhD, Thomas Hilberg MD, PhD, Sonja Alesci MD, Wolfgang Miesbach MD, PhD
Format: Article
Language:English
Published: SAGE Publishing 2021-01-01
Series:Clinical and Applied Thrombosis/Hemostasis
Online Access:https://doi.org/10.1177/1076029620984546
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author Stephanie Noone MD
Ralf Schubert MSc, PhD
Stephan Fichtlscherer MD, PhD
Thomas Hilberg MD, PhD
Sonja Alesci MD
Wolfgang Miesbach MD, PhD
author_facet Stephanie Noone MD
Ralf Schubert MSc, PhD
Stephan Fichtlscherer MD, PhD
Thomas Hilberg MD, PhD
Sonja Alesci MD
Wolfgang Miesbach MD, PhD
author_sort Stephanie Noone MD
collection DOAJ
description In patients with von Willebrand disease (vWD) the interest in age-related comorbidities has grown, because the life expectancy of these patients has increased. The research question of this study was whether patients with vWD show a different endothelial function compared to the general population. A total of 37 patients with type 1 (n = 23), type 2 (n = 10) and type 3 (n = 4) vWD, 14 controls and 38 patients with coronary artery disease (CAD) were included in this study. Five markers of endothelial dysfunction (MOED) were determined. Moreover, the endothelial function was examined using the Itamar Endo-PAT. The reactive hyperemia index (RHI) was calculated from the results. The markers soluble intercellular adhesion molecule-1 (p = 0.171), P-Selectin (p = 0.512), interleukin-6 (p = 0.734) and monocyte chemoattractant protein-1 (p = 0.761) showed higher levels in patients with vWD, but were not significantly different compared to the control group. RHI was impaired in CAD-patients (1.855), whereas vWD patients had mean results of 1.870 and controls 2.112 (p = 0.367). In this study, the endothelial function measurements of patients with von Willebrand disease were not significantly different compared to healthy controls.
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spelling doaj.art-bc48ad3b41f0405eb817cd34902de1172022-12-21T22:56:54ZengSAGE PublishingClinical and Applied Thrombosis/Hemostasis1938-27232021-01-012710.1177/1076029620984546Endothelial Function in Patients With Von Willebrand DiseaseStephanie Noone MD0Ralf Schubert MSc, PhD1Stephan Fichtlscherer MD, PhD2Thomas Hilberg MD, PhD3Sonja Alesci MD4Wolfgang Miesbach MD, PhD5 Haemostaseology, Department of Internal Medicine II, Institute of Transfusion Medicine, University Hospital, Goethe University Frankfurt am Main, Frankfurt, Germany Department for Children and Adolescents Medicine, University Hospital Frankfurt, Frankfurt am Main, Germany Division of Cardiology, Department of Internal Medicine III, University Hospital Frankfurt, Frankfurt am Main, Germany Department of Sports Medicine, University of Wuppertal, Wuppertal, Germany IMD Blood Coagulation Centre, Bad Homburg, Germany Haemostaseology, Department of Internal Medicine II, Institute of Transfusion Medicine, University Hospital, Goethe University Frankfurt am Main, Frankfurt, GermanyIn patients with von Willebrand disease (vWD) the interest in age-related comorbidities has grown, because the life expectancy of these patients has increased. The research question of this study was whether patients with vWD show a different endothelial function compared to the general population. A total of 37 patients with type 1 (n = 23), type 2 (n = 10) and type 3 (n = 4) vWD, 14 controls and 38 patients with coronary artery disease (CAD) were included in this study. Five markers of endothelial dysfunction (MOED) were determined. Moreover, the endothelial function was examined using the Itamar Endo-PAT. The reactive hyperemia index (RHI) was calculated from the results. The markers soluble intercellular adhesion molecule-1 (p = 0.171), P-Selectin (p = 0.512), interleukin-6 (p = 0.734) and monocyte chemoattractant protein-1 (p = 0.761) showed higher levels in patients with vWD, but were not significantly different compared to the control group. RHI was impaired in CAD-patients (1.855), whereas vWD patients had mean results of 1.870 and controls 2.112 (p = 0.367). In this study, the endothelial function measurements of patients with von Willebrand disease were not significantly different compared to healthy controls.https://doi.org/10.1177/1076029620984546
spellingShingle Stephanie Noone MD
Ralf Schubert MSc, PhD
Stephan Fichtlscherer MD, PhD
Thomas Hilberg MD, PhD
Sonja Alesci MD
Wolfgang Miesbach MD, PhD
Endothelial Function in Patients With Von Willebrand Disease
Clinical and Applied Thrombosis/Hemostasis
title Endothelial Function in Patients With Von Willebrand Disease
title_full Endothelial Function in Patients With Von Willebrand Disease
title_fullStr Endothelial Function in Patients With Von Willebrand Disease
title_full_unstemmed Endothelial Function in Patients With Von Willebrand Disease
title_short Endothelial Function in Patients With Von Willebrand Disease
title_sort endothelial function in patients with von willebrand disease
url https://doi.org/10.1177/1076029620984546
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