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Venous and Arterial Thrombosis: Is There a Link?

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Thrombosis and Embolism: from Research to Clinical Practice

Part of the book series: Advances in Experimental Medicine and Biology ((AIM,volume 906))

Abstract

An increasing body of evidence suggests the likelihood of a link between venous and arterial thrombosis. The two vascular complications share several risk factors, such as age, obesity, smoking, diabetes mellitus, blood hypertension, hypertriglyceridemia, and metabolic syndrome. Moreover, there are many examples of conditions accounting for both venous and arterial thrombosis, such as the antiphospholipid antibody syndrome, hyperhomocysteinemia, malignancies, infections, and the use of hormonal treatment. Finally, several recent studies have consistently shown that patients with venous thromboembolism are at a higher risk of arterial thrombotic complications than matched control individuals. We, therefore, speculate the two vascular complications are simultaneously triggered by biological stimuli responsible for activating coagulation and inflammatory pathways in both the arterial and the venous system. Future studies are needed to clarify the nature of this association, to assess its extent, and to evaluate its implications for clinical practice.

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References

  1. You JJ, Singer DE, Howard PA et al (2012) Antithrombotic therapy for atrial fibrillation: antithrombotic therapy and prevention of thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 141(2 Suppl):e531S–e575S

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Vandvik PO, Lincoff AM, Gore JM et al (2012) Primary and secondary prevention of cardiovascular disease: antithrombotic therapy and prevention of thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 141(2 Suppl):e637S–e668S

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Antithrombotic Trialist’s Collaboration (2002) Collaborative meta-analysis of randomised trials of antiplatelet therapy for prevention of death, myocardial infarction, and stroke in high-risk patients. Br Med J 324:71–86

    Article  Google Scholar 

  4. Warkentin TE (2012) Aspirin for dual prevention of venous and arterial thrombosis. N Engl J Med 367:2039–2041

    Article  CAS  PubMed  Google Scholar 

  5. Janssen MC, den Heijer M, Cruysberg JR, Wollersheim H, Bredie SJ (2005) Retinal vein occlusion: a form of venous thrombosis or a complication of atherosclerosis? A meta-analysis of thrombophilic factors. Thromb Haemost 93:1021–1026

    CAS  PubMed  Google Scholar 

  6. Tsaloumas MD, Kirwan J, Vinall H et al (2000) Nine year follow-up study of morbidity and mortality in retinal vein occlusion. Eye 14:821–827

    Article  CAS  PubMed  Google Scholar 

  7. Prandoni P, Lensing AWA, Cogo A et al (1996) The long-term clinical course of acute deep venous thrombosis. Ann Intern Med 125:1–7

    Article  CAS  PubMed  Google Scholar 

  8. Prandoni P, Bilora F, Marchiori A et al (2003) An association between atherosclerosis and venous thrombosis. N Engl J Med 348:1435–1441

    Article  PubMed  Google Scholar 

  9. Hong C, Zhu F, Du D, Pilgram TK, Sicard GA, Bae KT (2005) Coronary artery calcification and risk factors for atherosclerosis in patients with venous thromboembolism. Atherosclerosis 183:169–174

    Article  CAS  PubMed  Google Scholar 

  10. Eliasson A, Bergqvist D, Bjorck M, Acosta S, Sternby NH, Ogren M (2006) Prevalence and risk of venous thromboembolism in patients with verified arterial thrombosis: a population study based on 23 796 consecutive autopsies. J Thromb Haemost 4:1897–1902

    Article  CAS  PubMed  Google Scholar 

  11. Milan M, Vedovetto V, Bilora F, Pesavento R, Prandoni P (2015) Further evidence in support of the association between venous thrombosis and atherosclerosis: a case-control study. Thromb Res 134:1028–1031

    Article  Google Scholar 

  12. Ageno W, Becattini C, Brighton T, Selby R, Kamphuisen PW (2008) Cardiovascular risk factors and venous thromboembolism: a meta-analysis. Circulation 117:93–102

    Article  PubMed  Google Scholar 

  13. Borch KH, Brækkan SK, Mathiesen EB et al (2009) Abdominal obesity is essential for the risk of venous thromboembolism in the metabolic syndrome – the Tromsø study. J Thromb Haemost 7:739–745

    Article  CAS  PubMed  Google Scholar 

  14. Steffen LM, Cushman M, Peacock JM et al (2009) Metabolic syndrome and risk of venous thromboembolism: Longitudinal Investigation of Thromboembolism Etiology (LITE). J Thromb Haemost 7:746–751

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Ageno W, Di Minno MN, Ay C et al (2014) Association between the metabolic syndrome, its individual components, and unprovoked venous thromboembolism. Results of a patient-level meta-analysis. Arterioscler Thromb Vasc Biol 34:2478–2485

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Holst AG, Jensen G, Prescott E (2010) Risk factors for venous thromboembolism. Results from the Copenhagen City Heart Study. Circulation 121:1896–1903

    Article  PubMed  Google Scholar 

  17. Severinsen MT, Kristensen SR, Johnsen SP et al (2009) Smoking and venous thromboembolism: a Danish follow-up study. J Thromb Haemost 7:1297–1303

    Article  CAS  PubMed  Google Scholar 

  18. Linnemann B, Zgouras D, Schindewolf M et al (2008) Impact of sex and traditional cardiovascular risk factors on the risk of recurrent venous thromboembolism: results from the German MAISTHRO Registry. Blood Coagul Fibrinolysis 19:159–165

    Article  PubMed  Google Scholar 

  19. Wilhelmsen L, Svardsudd K, Korsan-Bengtsen K, Larsson B, Welin L, Tibblin G (1984) Fibrinogen as a risk factor for stroke and myocardial infarction. N Engl J Med 311:501–505

    Article  CAS  PubMed  Google Scholar 

  20. Meade TW, Mellows S, Brozovic M et al (1986) Haemostatic function and ischemic heart disease: principal results from the Northwick Park Heart Study. Lancet 2:533–537

    Article  CAS  PubMed  Google Scholar 

  21. Thompson SG, Kienast J, Pyke SD, Haverkate F, van de Loo JC (1995) Hemostatic factors and the risk of myocardial infarction or sudden death in patients with angina pectoris. N Engl J Med 332:635–641

    Article  CAS  PubMed  Google Scholar 

  22. Miller GJ, Bauer KA, Barzegar S, Cooper JA, Rosenberg RD (1996) Increased activation of the haemostatic system in men at high risk of fatal coronary heart disease. Thromb Haemost 75:767–771

    CAS  PubMed  Google Scholar 

  23. Folsom AR, Wu KK, Rosamond WR, Sharrett AR, Chambless LE (1997) Prospective study of hemostatic factors and incidence of coronary heart disease. Circulation 96:1102–1108

    Article  CAS  PubMed  Google Scholar 

  24. Folsom AR, Aleksic N, Park E, Salomaa V, Juneja H, Wu KK (2001) Prospective study of fibrinolytic factors and incident coronary heart disease. Arterioscler Thromb Vasc Biol 21:611–617

    Article  CAS  PubMed  Google Scholar 

  25. Koenig W, Rothenbacher D, Hoffmeister A, Griesshammer M, Brenner H (2001) Plasma fibrin D-dimer levels and risk of stable coronary artery disease: results of a large case-control study. Arterioscler Thromb Vasc Biol 21:1701–1705

    Article  CAS  PubMed  Google Scholar 

  26. Strano A, Hoppensteadt D, Walenga JM et al (1996) Plasma levels of the molecular markers of coagulation and fibrinolysis in patients with peripheral arterial disease. Semin Thromb Hemost 22(Suppl 1):35–40

    PubMed  Google Scholar 

  27. De Buyzere M, Philippe J, Duprez D, Baele G, Clement DL (1993) Coagulation system activation and increased D-dimer levels in peripheral arterial occlusive disease. Am J Hematol 43:91–94

    Article  PubMed  Google Scholar 

  28. Lowe GD, Fowkes FG, Dawes J, Donnan PT, Lennie SE, Housley E (1993) Blood viscosity, fibrinogen, and activation of coagulation and leukocytes in peripheral arterial disease and the normal population in the Edinburgh Artery Study. Circulation 87:1915–1920

    Article  CAS  PubMed  Google Scholar 

  29. Prandoni P, Piovella C, Pesavento R (2012) Venous thromboembolism and arterial complications. Semin Respir Crit Care Med 33:205–210

    Article  PubMed  Google Scholar 

  30. Migliacci R, Becattini C, Pesavento R et al (2007) Endothelial dysfunction in patients with spontaneous venous thromboembolism. Haematologica 92:812–818

    Article  CAS  PubMed  Google Scholar 

  31. Gresele P, Momi S, Migliacci R (2010) Endothelium, venous thromboembolism and ischaemic cardiovascular events. Thromb Haemost 103:56–61

    Article  CAS  PubMed  Google Scholar 

  32. Mahmoodi BK, Gansevoort RT, Veeger NJGM et al (2009) Microalbuminuria and risk of venous thromboembolism. JAMA 301:1790–1797

    Article  CAS  PubMed  Google Scholar 

  33. Reich LM, Folsom AR, Key NS et al (2006) Prospective study of subclinical atherosclerosis as a risk factor for venous thromboembolism. J Thromb Haemost 4:1909–1913

    Article  CAS  PubMed  Google Scholar 

  34. van der Hagen PB, Folsom AR, Jenny NS et al (2006) Subclinical atherosclerosis and the risk of future venous thrombosis in the Cardiovascular Health Study. J Thromb Haemost 4:1903–1908

    Article  PubMed  Google Scholar 

  35. Brækkan SK, Mathiesen EB, Njølstad I et al (2008) Family history of myocardial infarction is an independent risk factor for venous thromboembolism – the Tromsø study. J Thromb Haemost 6:1851–1857

    Article  PubMed  Google Scholar 

  36. Lind C, Enga KF, Mathiesen EB, Njølstad I, Brækkan SK, Hansen JB (2014) Family history of myocardial infarction and cause-specific risk of myocardial infarction and venous thromboembolism – the Tromsø Study. Circ Cardiovasc Genet 7:684–691

    Article  CAS  PubMed  Google Scholar 

  37. Quist-Paulsen P, Næss IA, Cannegieter SC et al (2009) Arterial cardiovascular risk factors and venous thrombosis: results from a population based prospective study (the HUNT 2). Haematologica 95:119–125

    Article  PubMed  PubMed Central  Google Scholar 

  38. Sørensen HT, Horvath-Puho E, Kobberøe Søgaard K et al (2009) Arterial cardiovascular events, statins, low dose aspirin and subsequent risk of venous thromboembolism: a population based case control study. J Thromb Haemost 7:521–528

    Article  PubMed  Google Scholar 

  39. Luxembourg B, Schmitt J, Humpich M et al (2009) Cardiovascular risk factors in idiopathic compared to risk-associated venous thromboembolism: a focus on fibrinogen, factor VIII, and high-sensitivity C-reactive protein (hs-CRP). Thromb Haemost 102:668–675

    CAS  PubMed  Google Scholar 

  40. Becattini C, Agnelli G, Prandoni P et al (2005) A prospective study on cardiovascular events after acute pulmonary embolism. Eur Heart J 26:77–83

    Article  PubMed  Google Scholar 

  41. Prandoni P, Ghirarduzzi A, Prins MH et al (2006) Venous thromboembolism and the risk of subsequent symptomatic atherosclerosis. J Thromb Haemost 4:1891–1896

    Article  CAS  PubMed  Google Scholar 

  42. Schulman S, Lindmarker P, Holmstrom M et al (2006) Post-thrombotic syndrome, recurrence, and death 10 years after the first episode of venous thromboembolism treated with warfarin for 6 weeks or 6 months. J Thromb Haemost 4:734–742

    Article  CAS  PubMed  Google Scholar 

  43. Bova C, Marchiori A, Noto A et al (2006) Incidence of arterial cardiovascular events in patients with idiopathic venous thromboembolism. A retrospective cohort study. Thromb Haemost 96:132–136

    CAS  PubMed  Google Scholar 

  44. Young L, Ockelford P, Milne D, Rolfe-Vyson V, McKelvie S, Harper P (2006) Post treatment residual thrombus increases the risk of recurrent deep vein thrombosis and mortality. J Thromb Haemost 4:1919–1924

    Article  CAS  PubMed  Google Scholar 

  45. Sørensen HT, Horvath-Puho E, Pedersen L, Baron JA, Prandoni P (2007) Venous thromboembolism and subsequent hospitalization due to acute arterial cardiovascular events – a 20 year cohort study. Lancet 370:1773–1779

    Article  PubMed  Google Scholar 

  46. Spencer FA, Ginsberg JS, Chong A, Alter DA (2008) The relationship between unprovoked venous thromboembolism, age, and acute myocardial infarction. J Thromb Haemost 6:1507–1513

    CAS  PubMed  Google Scholar 

  47. Klok FA, Mos IC, Broek L et al (2009) Risk of arterial cardiovascular events in patients after pulmonary embolism. Blood 114:1484–1488

    Article  CAS  PubMed  Google Scholar 

  48. Barsoum MK, Cohoon KP, Roger VL et al (2014) Are myocardial infarction and venous thromboembolism associated? Population-based case-control and cohort studies. Thromb Res 134:593–598

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  49. Madridano O, Del Toro Y, Lorenzo A et al (2015) Subsequent arterial ischemic events in patients receiving anticoagulant therapy for venous thromboembolism. J Vasc Surg [epub ahead of print] 3:135–141

    Google Scholar 

  50. Pasha SM, Tan M, van Rees Vellinga TF, Klok FA, Huisman MV (2014) Risk of atherothrombotic events in patients after proximal deep-vein thrombosis. Blood Coagul Fibrinolysis. 27(1):13–18

    Google Scholar 

  51. Becattini C, Cristina Vedovati M, Ageno W, Dentali F, Agnelli G (2010) Incidence of arterial cardiovascular events after venous thromboembolism. A systematic review and a meta-analysis. J Thromb Haemost 8:891–897

    CAS  PubMed  Google Scholar 

  52. Prandoni P, Lensing AWA, Prins MH et al (2015) The impact of residual thrombosis on the long-term outcome of patients with deep venous thrombosis treated with conventional anticoagulation. Sem Thromb Haemost 41:133–140

    Google Scholar 

  53. Steffen LM, Folsom AR, Cushman M, Jacobs DR Jr, Rosamond WD (2006) Greater fish, fruit, and vegetable intakes are related to lower incidence of venous thromboembolism. Circulation 115:188–195

    Article  PubMed  Google Scholar 

  54. Hoevenaar-Blom MP, Nooyens AC, Kromhout D et al (2012) Mediterranean style diet and 12-year incidence of cardiovascular diseases: the EPIC-NL cohort study. PLoS One 7:e45458

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  55. Glynn RJ, Ridker PM, Goldhaber SZ, Zee RY, Buring JE (2007) Effects of random allocation to vitamin e supplementation on the occurrence of venous thromboembolism. Report from the Women’s Health Study. Circulation 116:1497–1503

    Article  CAS  PubMed  Google Scholar 

  56. Pomp ER, Rosendaal FR, Doggen CJ (2008) Alcohol consumption is associated with a decreased risk of venous thrombosis. Thromb Haemost 99:59–63

    CAS  PubMed  Google Scholar 

  57. Lutsey PL, Steffen LM, Virnig BA, Folsom AR (2009) Diet and incident venous thromboembolism: the Iowa women’s health study. Am Heart J 157:1081–1087

    Article  PubMed  PubMed Central  Google Scholar 

  58. van Stralen KJ, Le Cessie S, Rosendaal FR, Doggen CJ (2007) Regular sports activities decrease the risk of venous thrombosis. J Thromb Haemost 5:2186–2192

    Article  PubMed  Google Scholar 

  59. Borch KH, Hansen-Krone I, Braekkan S et al (2010) Physical activity and risk of venous thromboembolism. The Tromso study. Haematologica 95:2088–2094

    Article  PubMed  PubMed Central  Google Scholar 

  60. Lindqvist PG, Epstein E, Olsson H (2008) The relationship between lifestyle factors and venous thromboembolism among women: a report from the MISS study. Br J Haematol 144:234–240

    Article  PubMed  Google Scholar 

  61. Kabrhel C, Varraso R, Goldhaber SZ, Rimm E, Camargo CA Jr (2011) Physical inactivity and idiopathic pulmonary embolism in women: prospective study. BMJ 343:d3867

    Article  PubMed  Google Scholar 

  62. Agarwal V, Phung OJ, Tongbram V, Bhardwaj A, Coleman CI (2010) Statin use and the prevention of venous thromboembolism: a meta-analysis. Int J Clin Pract 64:1375–1383

    Article  CAS  PubMed  Google Scholar 

  63. Glynn RJ, Danielson E, Fonseca FA et al (2009) A randomized trial of rosuvastatin in the prevention of venous thromboembolism. N Engl J Med 360:1851–1861

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  64. Khemasuwan D, Divietro ML, Tangdhanakanond K, Pomerantz SC, Eiger G (2010) Statins decrease the occurrence of venous thromboembolism in patients with cancer. Am J Med 123:60–65

    Article  CAS  PubMed  Google Scholar 

  65. Biere-Rafi S, Hutten BA, Squizzato A et al (2013) Statin treatment and the risk of recurrent pulmonary embolism. Eur Heart J 34:1800–1806

    Article  CAS  PubMed  Google Scholar 

  66. Nguyen CD, Andersson C, Jensen TB et al (2013) Statin treatment and risk of recurrent venous thromboembolism: a nationwide cohort study. BMJ Open 3:e003135

    Article  PubMed  PubMed Central  Google Scholar 

  67. Schmidt M, Cannegieter SC, Johannesdottir SA, Dekkers OM, Horváth-Puhó E, Sørensen HT (2014) Statin use and venous thromboembolism recurrence: a combined nationwide cohort and nested case-control study. J Thromb Haemost 12:1207–1215

    Article  CAS  PubMed  Google Scholar 

  68. Becattini C, Agnelli G, Schenone A et al (2012) Aspirin for preventing the recurrence of venous thromboembolism. N Engl J Med 366:1959–1967

    Article  CAS  PubMed  Google Scholar 

  69. Brighton TA, Eikelboom JW, Mann K et al (2012) Low-dose aspirin for preventing recurrent venous thromboembolism. N Engl J Med 367:1979–1987

    Article  CAS  PubMed  Google Scholar 

  70. Simes J, Becattini C, Agnelli G et al (2014) Aspirin for the prevention of recurrent venous thromboembolism: the INSPIRE collaboration. Circulation 130:1062–1071

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Paolo Prandoni M.D., Ph.D. .

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Prandoni, P. (2016). Venous and Arterial Thrombosis: Is There a Link?. In: Islam, M. (eds) Thrombosis and Embolism: from Research to Clinical Practice. Advances in Experimental Medicine and Biology(), vol 906. Springer, Cham. https://doi.org/10.1007/5584_2016_121

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