[Should blood samples be drawn on heparin-anticoagulant for lipid analysis?].

Abstract:

:Lipid profile is often performed on heparinized-plasma because nothing in particular is explained in the technical data sheet about anticoagulant and because few data (mainly with EDTA anticoagulant) are available in literature. In order to evaluate heparinized-plasma vs serum differences, 50 normo- or hyperlipidemic samples were collected and assayed in 3 clinical laboratories in Lyon on Hitachi analysers with Roche Diagnostic reagents. Lipid values are lower in plasma than in serum; the average negative bias for cholesterol levels is 2 to 4,5% and for triglycerides about 3%, depending on the laboratory; the effect on HDL-cholesterol values is not significant. These results were confirmed by manual procedure on 28 samples with Roche Diagnostic reagent and two similar other reagents (Biomerieux and Randox). A negative bias of 4% on total cholesterol and triglycerides levels is not very important for clinical diagnosis but it is more serious for LDL-cholesterol estimated with Friedewald equation; LDL-cholesterol value needs accuracy because it is a therapeutic goal with statin therapy and an high negative bias (until 0,70 g/L in our results) is unacceptable; moreover, there is a real risk of providing false total cholesterol results. Therefore it is essential to collect blood for lipid profile without any anticoagulant.

journal_name

Ann Biol Clin (Paris)

authors

Sassolas A,Cheillan D,Drai J,Bondon PJ,Cartier R

subject

Has Abstract

pub_date

2004-09-01 00:00:00

pages

583-6

issue

5

eissn

0003-3898

issn

1950-6112

journal_volume

62

pub_type

杂志文章,多中心研究
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    doi:

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    doi:

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    doi:

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  • [Practice guidelines: let us sort them].

    abstract::A growing number of clinical practice guidelines (CPG) is published. This is understandable because CPG are the corner stone in the evaluation of professional practices (EPP). One cannot deny that EPP is necessary. However, in order for the EPP to reach their objectives, which are to use our resources better and to im...

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  • [Comparison of three reactants for the detection of activated protein C resistance due to mutation of factor V Leiden during pregnancy].

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  • [Capnocytophaga infections. Apropos of 8 cases].

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    doi:

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  • [Values and limitations of the detection of circulating Candida antigen (Cand-Tec) in the diagnosis of deep candidiasis].

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    pub_type: 杂志文章

    doi:

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    journal_title:Annales de biologie clinique

    pub_type: 杂志文章

    doi:

    authors: Barbe D,Bauduer F,Tanguy A

    更新日期:1991-01-01 00:00:00

  • [Determination of serum or plasma alpha-tocopherol by high performance liquid chromatography: optimization of operative models].

    abstract::A previous multicentric study set up by the Société française de biologie clinique has emphasized the usefulness of a standardized procedure for the determination by high performance liquid chromatography of alpha-tocopherol in serum or plasma. In our study, we have tested every step of the different published procedu...

    journal_title:Annales de biologie clinique

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    doi:

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  • [Chromosomal anomalies and intelligence deficiency (author's transl)].

    abstract::The relations between chromosomal diseases and mental retardation can be envisaged in three different ways: 1) Pharmacological approach shows a peculiar sensitivity of the cholinergic system in trisomic 21 children. A trouble in the manufacture of cholinergic mediator is plausible. 2) General biochemistry shows a slig...

    journal_title:Annales de biologie clinique

    pub_type: 杂志文章

    doi:

    authors: Lejeune J

    更新日期:1978-01-01 00:00:00

  • [Preservation of urine samples for UF 1000i (bioMérieux©) analysis].

    abstract::With the general tendency that's to say the grouping of laboratories as technical divisions and the accreditation's obligation, the handling of urinary sample preservation's conditions is a major concern. Urinary sample preservation, with or without boric acid, for UF 1000i urinalysis was the purpose of this study. No...

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  • [Phosphatidylethanol blood analysis].

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    pub_type: 杂志文章,评审

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    journal_title:Annales de biologie clinique

    pub_type: 杂志文章

    doi:

    authors: Ben Hassen A,Meddeb M,Ben Chaabane T,Zribi M,Ben Redjeb S

    更新日期:1994-01-01 00:00:00