Effects Of Standard Versus Low-Moleculer-Weight Heparin (Deltaparin) On Lipid Profile In Hemodialysis Patients
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Original Article
VOLUME: 4 ISSUE: 1
P: 13 - 17
March 2000

Effects Of Standard Versus Low-Moleculer-Weight Heparin (Deltaparin) On Lipid Profile In Hemodialysis Patients

İstanbul Med J 2000;4(1):13-17
1. SSK İstanbul Eğitim Hastanesi İç Hastalıklan ve Allerji
2. Bakırköy Dr. Sadi Konuk Eğitim Araştırma Hastanesi, Tıbbi Onkoloji Bilim Dalı, İstanbul, Türkiye
3. SSK İstanbul Hastanesi Dahiliye Kliniği Uzmanı
4. SSK İstanbul Hastanesi, İnfeksiyon Hastalıkları ve Kliniği Bakteriyoloji
5. SSK İstanbul Hastanesi İç Hastalıkları Kliniği, Şefi
6. SSK İstanbul Eğitim Hastanesi I. İç Hastalıkları Kliniği
7. İstanbul Eğitim Ve Araştırma Hastanesi, İç Hastalıkları Kliniği, İstanbul
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ABSTRACT

In this study, we investigated effects of low-moleculerweight heparin(deltaparin) versus standart heparin, which was given for anticoagulation, on serum total cholesterol, triglyceride, lipoprotein(a), HDL, LDL, VLDLcholesterol in hemodialysis patients. It has been constructed on 38 patients taking bicarbonated hemodialysis due to choronic renal failure white given standart heparin for anticoagulation and 15 healthy persons. In group I (23 patients), deltaparin was given at the beginning of hemodialysis for six months long (according to body weight total 2500-5000 lU N). In group II (15 patients) standard heparin was given at the beginning and during hemodialysis (total 2500-5000 lU N). Before and after treatment serum total cholesterol, triglyceride, lipoprotein(a), HDL, LDL, VLDL- cholesterol levels were obtained. Using deltaparin versus standart heparin did not change signifıcantly the levels of lipoprotein(a), HDL, LDL-cholesterol. But it decreased signifıcantly the levels of total cholesterol, triglyceride, VLDL-cholesterol, which have been known as aterogenic. For this reason we advice using low-moleculer-weight heparin more frequently than standard heparin for anticoagulation in hemodialysis patients.

Keywords:
Hemodialysis, standard heparin and lowmoleculer- weight heparin, serum lipids