Article type: Research Article
Authors: Horvath, Beata | Szapary, Laszlo | Debreceni, Laszlo | Feher, Gergely | Kenyeres, Peter | Fulop, Adrienn | Battyani, Istvan | Toth, Kalman;
Affiliations: 1st Department of Medicine, Division of Cardiology, Medical School, University of Pecs, Pecs, Hungary | Department of Neurology, Medical School, University of Pecs, Pecs, Hungary | Department of Radiology, Medical School, University of Pecs, Pecs, Hungary | Consultant Internist, Medical School, University of Pecs, Pecs, Hungary
Note: [] Corresponding author: Prof. Kalman Toth, MD, ScD, 1st Department of Medicine, Medical School, University of Pecs, 7624 Pecs, Ifjusag u. 13., Hungary. Tel.: +36 72 536 145; Fax: +36 72 536 146; E-mail: kalman.toth@aok.pte.hu.
Abstract: In our prospective study the effect of Sclerovit (0.8 mg folic acid, 20 μg vitamin B12,5 mg vitamin B6,100 mg vitamin E) on inflammatory markers, hemorheological parameters, platelet aggregation, von Willebrand factor activity as a marker of endothelium dysfunction, plasma lipids, plasma levels of folic acid, vitamin B12 and homocysteine (hcy), flow mediated vasodilatation (FMD) and thickness of carotis intima-media after 1 and 6 months of treatment in patients with vascular diseases (10 patients took 1 capsule, 10 patients 2 capsules of Sclerovit and 10 patients placebo) was determined. Plasma level of vitamin B12, folic acid and elongation index of red blood cells (RBC) increased significantly (p<0.05–0.001), hcy and triglyceride concentrations decreased significantly (p<0.05–0.001) in patients taking Sclerovit. HDL-cholesterol, RBC count, hematocrit, plasma and whole blood viscosity increased significantly (p<0.05–0.001) both in patients taking placebo or vitamins. Fibrinogen and CRP showed a significant (p<0.05–0.01) increase in patients on placebo, but did not change in patients on Sclerovit therapy. FMD showed a significant (p<0.05) amelioration in patients on 1 capsule of Sclerovit. Beside the favorable effects of Sclerovit on some of the measured parameters, the observed deterioration in hemorheological parameters can correlate with the contradictory results of large prospective studies with vitamins.
Keywords: Homocysteine, endothelial dysfunction, hemorheological parameters, platelet aggregation, folic acid, vitamin B_6, vitamin B_12
DOI: 10.3233/CH-2009-1182
Journal: Clinical Hemorheology and Microcirculation, vol. 42, no. 1, pp. 19-28, 2009
