Hyperhomocysteinaemia as a Risk Factor for Venous Thrombosis: An Update of the Current Evidence

Verfasser / Beitragende:
[Martin den Heijer]
Ort, Verlag, Jahr:
2003
Enthalten in:
Clinical Chemistry and Laboratory Medicine, 41/11(2003-11-17), 1404-1407
Format:
Artikel (online)
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245 1 0 |a Hyperhomocysteinaemia as a Risk Factor for Venous Thrombosis: An Update of the Current Evidence  |h [Elektronische Daten]  |c [Martin den Heijer] 
520 3 |a Classical homocystinuria is associated with arterial vascular diseases and venous thrombosis. In the last decade, many studies, including some prospective studies, have been published indicating that moderate hyperhomocysteinaemia is also a risk factor for venous thrombosis. The 677C>T mutation in the methylenetetrahydrofolate reductase (MTHFR) gene is an important cause of mild hyperhomocysteinaemia. Recent meta-analyses show an elevated risk of venous thrombosis for subjects with the TT-genotype. Based on the concept of ‘Mendelian randomisation', this observation supports the hypothesis that hyperhomocysteinaemia is a causal risk factor for venous thrombosis. The results of one homocysteine-lowering trial regarding venous thrombosis are awaited at the end of 2003. In this paper the current evidence for hyperhomocysteinaemia as a risk factor for venous thrombosis is being discussed. 
540 |a Copyright (c) 2003 by Walter de Gruyter GmbH & Co. KG 
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