Evidence map›Paper›PMID 38067146›Full record

ReviewCells2023

Statins Effects on Blood Clotting: A Review.

Carmine Siniscalchi, Manuela Basaglia, Michele Riva, Michele Meschi, Tiziana Meschi, Giampiero Castaldo, Pierpaolo Di Micco

Open access · goldAbstract readReview
In one paragraph

Review in Cells, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
10.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
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  7. Article
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  18. Association ofFrontiers in cardiovascular medicine · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Carmine SiniscalchiAngiology Unit, Department of Internal Medicine, Parma University Hospital, 43121 Parma, Italy.ORCID 0000-0002-0613-1074
Manuela BasagliaDepartment of Internal Medicine, Parma University Hospital, 43121 Parma, Italy.
Michele RivaDepartment of Internal Medicine, Parma University Hospital, 43121 Parma, Italy.
Michele MeschiUOC Internal Medicine, Fidenza Hospital, 43036 Parma, Italy.ORCID 0000-0003-2914-2419
Tiziana MeschiDepartment of Medicine and Surgery, Parma University Hospital, 43121 Parma, Italy.
Giampiero CastaldoDepartment of Medicine and Surgery, Parma University Hospital, 43121 Parma, Italy.
Pierpaolo Di MiccoAFO Medicina PO Santa Maria delle Grazie, Pozzuoli Naples Hospital 2 Nord, 80078 Naples, Italy.ORCID 0000-0002-8484-4598
University of Parma · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Statins are powerful lipid-lowering drugs that inhibit cholesterol biosynthesis via downregulation of hydroxymethylglutaryl coenzyme-A reductase, which are largely used in patients with or at risk of cardiovascular disease. Available data on thromboembolic disease include primary and secondary prevention as well as bleeding and mortality rates in statin users during anticoagulation for VTE. Experimental studies indicate that statins alter blood clotting at various levels. Statins produce anticoagulant effects via downregulation of tissue factor expression and enhanced endothelial thrombomodulin expression resulting in reduced thrombin generation. Statins impair fibrinogen cleavage and reduce thrombin generation. A reduction of factor V and factor XIII activation has been observed in patients treated with statins. It is postulated that the mechanisms involved are downregulation of factor V and activated factor V, modulation of the protein C pathway and alteration of the tissue factor pathway inhibitor. Clinical and experimental studies have shown that statins exert antiplatelet effects through early and delayed inhibition of platelet activation, adhesion and aggregation. It has been postulated that statin-induced anticoagulant effects can explain, at least partially, a reduction in primary and secondary VTE and death. Evidence supporting the use of statins for prevention of arterial thrombosis-related cardiovascular events is robust, but their role in VTE remains to be further elucidated. In this review, we present biological evidence and experimental data supporting the ability of statins to directly interfere with the clotting system.

Indexed as

Hydroxymethylglutaryl-CoA Reductase InhibitorsThrombosisVenous ThromboembolismAnticoagulantsBlood CoagulationFactor VHumansThrombinAnticoagulantsFactor VHydroxymethylglutaryl-CoA Reductase InhibitorsThrombinfactor V/Vafactor XIII/XIIIafibrinfibrinogenprotein C pathwaystatinthrombintissue factortissue factor pathway inhibitorvenous thromboembolism

Identifiers

PMID38067146
PMCPMC10706238
OpenAlexW4389036004

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.