| 1. |
- Olivecrona, T, et al.
(författare)
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New aspects on heparin and lipoprotein metabolism.
- 1993
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Ingår i: Haemostasis. - 0301-0147 .- 1423-0038. ; 23 Suppl 1, s. 150-60
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Tidskriftsartikel (refereegranskat)abstract
- Lipoprotein lipase (LPL) and hepatic lipase (HL) are two enzymes which participate in metabolism of plasma lipoproteins. The enzymes are located at vascular surfaces and are released from their binding sites on injection of heparin. In this paper we give a short overview of the structure of the lipases and their role in lipoprotein metabolism. Earlier studies had shown that low molecular weight (LMW) heparin preparations result in lower LPL activities in blood than do corresponding amounts of conventional heparin. Studies with organ perfusion in rats show that the two types of heparin have similar ability to release the lipases from their binding sites in extrahepatic tissues, but that LMW heparin is less effective than conventional heparin in preventing rapid uptake and degradation of LPL by the liver. After injection of heparin the metabolism of triglyceride-rich lipoproteins is initially accelerated, presumably as a result of the high levels of circulating LPL. Then follows a phase when lipoprotein metabolism is slower than normal, perhaps because endothelial LPL has been depleted by accelerated transport to and degradation in the liver.
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| 2. |
- Bergqvist, David, et al.
(författare)
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Cost/benefit aspects on thromboprophylaxis
- 1993
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Ingår i: Haemostasis. - 0301-0147. ; 23:Suppl. 1, s. 15-19
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Tidskriftsartikel (refereegranskat)abstract
- Several studies have shown thromboprophylaxis of any kind to be more cost-effective than no prophylaxis or general diagnostic surveillance and selective treatment. Little has been written on low molecular weight heparins from the cost-effectiveness point of view. This preliminary study shows low molecular weight heparin to be more cost-effective than standard low-dose heparin in most situations of prophylaxis.
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| 3. |
- Bergqvist, D, et al.
(författare)
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Thromboprophylaxis in emergency surgery
- 1993
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Ingår i: Haemostasis. - 0301-0147. ; 23:Suppl. 1, s. 51-56
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Tidskriftsartikel (refereegranskat)abstract
- Except for hip fracture surgery, emergency surgery has been only exceptionally studied concerning thromboprophylaxis. There are, however, several reasons to believe the frequency to be fairly high and that the patient group would be in need of prophylaxis. This paper discusses various emergency situations and also gives the design for an ongoing controlled study on the effect of postoperative start of thromboprophylaxis with low molecular weight heparin in emergency abdominal surgery.
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