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Fibrinogen does not relate to cardiovascular or muscle manifestations in COPD: cross-sectional data from the ERICA study.

Accepted version
Peer-reviewed

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Type

Article

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Authors

Mohan, Divya 
Forman, Julia R 
Allinder, Matthew 
McEniery, Carmel M 
Bolton, Charlotte Emma 

Abstract

Cardiovascular and skeletal muscle manifestations constitute important comorbidities in COPD, with systemic inflammation proposed as a common mechanistic link. Fibrinogen has prognostic role in COPD. We aimed to determine whether aortic stiffness and quadriceps weakness are linked in COPD, and whether they are associated with the systemic inflammatory mediator-fibrinogen. Aortic pulse wave velocity (aPWV), quadriceps maximal volitional contraction (QMVC) force and fibrinogen were measured in 729 patients with stable, Global Initiative for Chronic Obstructive Lung Disease (GOLD) stages II-IV COPD. The cardiovascular and muscular manifestations exist independently (P=0.22, χ2). Fibrinogen was not associated with aPWV or QMVC (P=0.628 and P=0.621, respectively), making inflammation, as measured by plasma fibrinogen, an unlikely common aetiological factor.

Description

Keywords

copd pathology, Aged, Aorta, Cross-Sectional Studies, Female, Fibrinogen, Humans, Male, Middle Aged, Muscle Contraction, Muscle Weakness, Prospective Studies, Pulmonary Disease, Chronic Obstructive, Pulse Wave Analysis, Quadriceps Muscle, Vascular Stiffness

Journal Title

Thorax

Conference Name

Journal ISSN

0040-6376
1468-3296

Volume Title

73

Publisher

BMJ
Sponsorship
NIHR West Anglia Comprehensive Local Research Network (CLRN) (via Cambridge University Hospitals NHS Foundation Trust (CUH)) (RCF FUNDING 2013/14)
Technology Strategy Board (101024 TP 9157-61188)
British Heart Foundation (None)
British Heart Foundation (None)
British Heart Foundation (None)