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Clin Appl Thromb Hemost ; 22(5): 483-9, 2016 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25601896

RESUMO

High plasma level of P-selectin is associated with the development of venous thromboembolism (VTE). Furthermore, supplementation of vitamin D could decrease thrombotic events. Hence, this study was designed to examine whether the administration of vitamin D can influence the plasma level of P-selectin in patients with VTE. In the randomized controlled trial, 60 patients with confirmed acute deep vein thrombosis and/or pulmonary embolism (PE) were randomized into the intervention (n = 20) and control (n = 40) groups. The intervention arm was given an intramuscular single dose of 300 000 IU vitamin D3 Plasma level of 25-hydroxy vitamin D, P-selectin, and high-sensitive C-reactive protein (hs-CRP) was measured at baseline and 4 weeks after. The plasma level of P-selectin (95% confidence interval = -5.99 to -1.63, P = .022) and hs-CRP (P = .024) significantly declined in vitamin D-treated group, while only hs-CRP was significantly decreased in the control group (P = .011). However, the magnitude of these reductions was not statistically significant. This study could not support the potential benefit of the high-dose vitamin D on plasma level of P-selectin and hs-CRP in patients with VTE.


Assuntos
Colecalciferol/administração & dosagem , Tromboembolia Venosa/tratamento farmacológico , Adulto , Idoso , Proteína C-Reativa/análise , Proteína C-Reativa/efeitos dos fármacos , Colecalciferol/uso terapêutico , Relação Dose-Resposta a Droga , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Selectina-P/sangue , Selectina-P/efeitos dos fármacos , Embolia Pulmonar/sangue , Embolia Pulmonar/tratamento farmacológico , Tromboembolia Venosa/sangue , Trombose Venosa/sangue , Trombose Venosa/tratamento farmacológico
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