[Effect on plasma fibrinogen of hypercholesterolaemia treatment with pravastatin].

Abstract:

OBJECTIVE:To determine whether hypercholesterolaemia treatment with pravastatin causes modifications in plasma fibrinogen. DESIGN:Descriptive, prospective pharmacological intervention study, with two transversal cuts, one at the start and one after 6 months pravastatin treatment. SETTING:Health area located in the suburbs of Valencia. PATIENTS:Hypercholesterolaemia cases diagnosed de novo and treated with pravastatin for 6 months. Sample size was calculated for paired data with an alpha error of 0.05 and a beta error of 20%. The fibrinogen difference thought relevant was set at 40 mg/dl. Variability was deduced from a mini-sample of 15 cases, obtaining a total of 57 patients. Sex, age, height, weight, BMI, count, formula, globular sedimentation rate (GSR), glucaemia, total, HDL and LDL cholesterol, and triglycerides were recorded. MEASUREMENTS AND MAIN RESULTS:Mean age was 55.9, height 161.9 cm and initial weight 73.9 kg (mean BMI 28.1 kg/m(2)). After six months pravastatin treatment (10/20 mg/day) we found no significant differences in glucaemia, GSR or leukocytes. There were differences in weight, that fell by 1.5 kg (0.6 kg/m(2)), systolic pressure (4.3 mmHg) and diastolic pressure (2.7 mmHg) on average. We found the following differences for lipids: 42.3 mg/dl (15.2%) drop in mean total cholesterol, 27 mg/dl (14.5%) in LDL cholesterol, and 36.2 mg/dl (21.9%) in triglycerides. We found a mean increase in HDL cholesterol of 4.4 mg/dl. There was a mean drop of 43.7 mg/dl (11.9%) in fibrinogen. CONCLUSIONS:We found an 11.9% drop of plasma fibrinogen in patients with hypercholesterolaemia treated with pravastatin.

journal_name

Aten Primaria

journal_title

Atencion primaria

authors

Murciano Revert J,Martínez-Lahuerta JJ,Aleixandre Porcar L,Debón Belda M

doi

10.1016/s0212-6567(01)78824-5

subject

Has Abstract

pub_date

2001-04-15 00:00:00

pages

417-21

issue

6

eissn

0212-6567

issn

1578-1275

pii

S0212-6567(01)78824-5

journal_volume

27

pub_type

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