Evidence map›Paper›PMID 38581046›Full record

ArticleThrombosis journal2024

Exercise transiently increases the density of incipient blood clots in antiplatelet-treated lacunar stroke patients.

L B Nørregaard, K A Wickham, J S Jeppesen, N Rytter, L C Christoffersen, L Gliemann, M Lawrence, P A Evans, C Kruuse, Y Hellsten

Registry-linked trialAbstract read
In one paragraph

Article in Thrombosis journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03635177 (Effect of Remote Ischemic Conditioning on Vascular Health in Stroke Patients), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT03635177 nacompletednot on this map

Effect of Remote Ischemic Conditioning on Vascular Health in Stroke Patients

TypeinterventionalSponsorUniversity of CopenhagenRan2019 to 2022Enrolled30ConditionsStroke, LacunarArmsRemote ischemic conditioning
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
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

10 authors.

L B NørregaardThe Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
K A WickhamThe Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
J S JeppesenThe Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
N RytterThe Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
L C ChristoffersenThe Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
L GliemannThe Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
M LawrenceWelsh Centre for Emergency Medicine Research, Morriston Hospital, Swansea Bay University Health Board, Swansea, UK.
P A EvansWelsh Centre for Emergency Medicine Research, Morriston Hospital, Swansea Bay University Health Board, Swansea, UK.
C KruuseNeurovascular Research Unit, Department of Neurology, Herlev Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark.
Y HellstenThe Department of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark. yhellsten@nexs.ku.dk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOlder individuals and, in particular, individuals at risk of recurrent stroke, may be susceptible to thrombosis when participating in exercise, however, this aspect has not been well investigated.

methodsClot microstructure and conventional markers of thrombotic risk were determined in twenty lacunar stroke patients and fifteen healthy age-matched controls before, immediately after and 1 h after a bout of moderate intensity cycling exercise. Data were analyzed using a linear mixed model approach.

resultsAt rest, clot microstructure (1.69 ± 0.07 vs. 1.64 ± 0.05, corresponding to a difference of ~ 50% in normalized clot mass; p = 0.009) and thrombocyte count (73%; p < 0.0001) were higher, and activated partial thromboplastin time was lower (18%; p = 0.0001) in stroke patients compared to age-matched controls. Acute exercise increased thrombogenic markers similarly in the two groups: incipient clot microstructure (1.69 ± 0.07 vs. 1.74 ± 0.05; p = 0.0004 and 1.64 ± 0.05 vs. 1.71 ± 0.04; p < 0.0001, for stroke and controls respectively), plasma fibrinogen (12%; p < 0.0001 and 18%; p < 0.0001, for stroke and controls respectively) and the combined coagulation factors II, VII and X (p = 0.0001 and p < 0.0001, for stroke and controls respectively).

conclusionThe results show that exercise transiently increases the risk of blood clot formation in both stroke patients and controls, however, due to the higher baseline thrombogenicity in stroke patients, the post exercise risk of forming blood clots may be higher in this group.

trial registrationRegistered at ClinicalTrials.gov (NCT03635177).

Indexed as

Clot microstructureCoagulationExerciseLacunar stroke patientsThrombogenicity

Identifiers

PMID38581046
PMCPMC10996168

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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.