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| Evaluating
Cardiac Risk - Fibrinogen |
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Evaluating
Cardiac Risk - Article Index
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Fibrinogen
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CRP, fibrinogen is believed to signal vascular inflammation.
This plasma protein has been implicated in other processes that
fuel vascular disease. A precursor of fibrin, fibrinogen influences
platelet aggregation, the viscosity of plasma and RBCs, and
the migration and proliferation of smooth muscle cells. Once
converted into fibrin, it attaches to LDL, possibly helping
it to accumulate within atherosclerotic plaques.
Studies
indicate that high levels of fibrinogen raise the risk of
CVD. For example, data from an arm of the Physicians' Health
Study disclosed that apparently healthy men with excessive
concentrations (343 mg/dL or more) had roughly twice the risk
of MI as those with lower fibrinogen levels.20 In this and
other studies, fibrinogen proved to be a powerful, independent
herald of CHD. In other circumstances, fibrinogen's predictive
ability relied on the presence of other risk factors. However,
its precise effect on risk has not been quantified. At present,
it does not appear to be nearly as important as the established
risk factors, and studies have not yet shown that limiting
amounts will lower the incidence of CHD.
As
with other emerging risk factors, fibrinogen can be brought
under control when the traditional risk factors are addressed.
Smoking raises fibrinogen levels, and quitting certainly improves
them. Similarly, weight loss and exercise are beneficial.
Treatment with nutraceuticals include the use of Omega three
fatty acids (The DHA subfraction of fish oil is most active)
pharmaceuticals which have been shown effective to also lower
fibrinogen levels include fenofibrate or ticlopidine .Aspirin
use has also been shown to reduces the risk of MI in men with
abnormally high concentrations.
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