Effects of Low Molecular Weight and Unfractionated Heparin on Lipoprotein Lipase and Lipid Profile in haemodialysis patients

Authors

  • Ahmad Jan Gomal Medical College, Medical Teaching Institute, Dera Ismail Khan, Pakistan
  • Shah Jahan Gomal Medical College, Medical Teaching Institute, Dera Ismail Khan, Pakistan
  • Nighat Aziz Gomal Medical College, Medical Teaching Institute, Dera Ismail Khan, Pakistan
  • Sikandar Ali Khan Khyber Medical University, Peshawar, Pakistan
  • Asia Asia Peshawar Medical College, Peshawar, Pakistan
  • Zarghuna Zeb Khyber College of Dentistry, Peshawar, Pakistan
  • Amir Afzal Khan Allied Health Sciences Department Iqra National University Hayatabad Peshawar

DOI:

https://doi.org/10.52442/rjhs.v3i1.110

Keywords:

Lipoprotein Lipase, Heparin, Haemodialysis.

Abstract

Introduction: In haemodialysis patients, mortality from cardiovascular disease is much greater than in the general population. The current study aimed to evaluate the effects of two different types of heparin, low molecular weight heparins (LMWH) and high molecular weight heparin (HMWH), on lipid profile in patients undergoing haemodialysis.
Material & Methods: A total of 60 patients on haemodialysis were selected from two main hospitals of Lahore, Pakistan and were divided into two major groups based on the type of heparin used. A 5 ml blood sample was taken from the dialysis machine to get the serum and was kept frozen at -20ºC for analysis of total cholesterol, triglycerides, high-density lipoprotein, and low-density lipoprotein. Comparison of lipoprotein lipase activity between groups were evaluated by using the student t-test. A P-value of ? 0.05 was considered statistically significant.
Results: Gender wise distribution of study population (n=60) was 67% (n=40) males and 33% (n=20) females. The age distribution of individuals varied from 39-43 years. Moreover, use of HMWH was high in males (73%) as compared to female (27%) with an average age of 39 ± 12 years where duration of haemodialysis was 4.44 ± 2.83. A significant difference in LPL activity related to different times in all patients was observed. A clearer difference observed in case of LDL where LPL activity was markedly different in both groups. Our data showed that individuals using LMWH had less chances of dyslipidaemia as compared to those using HMWH.
Conclusion: LMWH is a useful and safe anticoagulant during haemodialysis as compared to HMWH.

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Published

2021-06-30

How to Cite

Jan, A., Jahan, S. ., Aziz, N. ., Ali Khan, S. ., Asia, A., Zeb, Z. ., & Khan, A. A. (2021). Effects of Low Molecular Weight and Unfractionated Heparin on Lipoprotein Lipase and Lipid Profile in haemodialysis patients. Rehman Journal of Health Sciences, 3(1), 56–59. https://doi.org/10.52442/rjhs.v3i1.110