Inflammatory and thrombotic changes in early bereavement: a prospective evaluation

Aims: Although there is an increased cardiovascular risk in the immediate weeks following bereavement, the mechanism is not well understood. The aim of this study was to determine whether inflammatory and thrombotic changes were present in acute bereavement. Methods and results: Eighty bereaved spou...

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Veröffentlicht in:European journal of preventive cardiology 2012-10, Vol.19 (5), p.1145-1152
Hauptverfasser: Buckley, Thomas, Morel-Kopp, Marie-Christine, Ward, Christopher, Bartrop, Roger, McKinley, Sharon, Mihailidou, Anastasia Susie, Spinaze, Monica, Chen, Walter, Tofler, Geoffrey
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container_issue 5
container_start_page 1145
container_title European journal of preventive cardiology
container_volume 19
creator Buckley, Thomas
Morel-Kopp, Marie-Christine
Ward, Christopher
Bartrop, Roger
McKinley, Sharon
Mihailidou, Anastasia Susie
Spinaze, Monica
Chen, Walter
Tofler, Geoffrey
description Aims: Although there is an increased cardiovascular risk in the immediate weeks following bereavement, the mechanism is not well understood. The aim of this study was to determine whether inflammatory and thrombotic changes were present in acute bereavement. Methods and results: Eighty bereaved spouses or parents were prospectively studied within 2 weeks of bereavement (acute) and at 6 months, and compared to 80 non-bereaved participants. Haemostatic measures were obtained between 8 a.m. and 11 a.m. and processed within 1 h. Compared to non-bereaved participants, those acutely bereaved had a higher neutrophil count (4.34 ± 0.19 vs 3.79 ± 0.15, p = 
doi_str_mv 10.1177/1741826711421686
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The aim of this study was to determine whether inflammatory and thrombotic changes were present in acute bereavement. Methods and results: Eighty bereaved spouses or parents were prospectively studied within 2 weeks of bereavement (acute) and at 6 months, and compared to 80 non-bereaved participants. Haemostatic measures were obtained between 8 a.m. and 11 a.m. and processed within 1 h. Compared to non-bereaved participants, those acutely bereaved had a higher neutrophil count (4.34 ± 0.19 vs 3.79 ± 0.15, p = &lt;0.001), von Willebrand factor antigen (132.33 ± 3.6 vs 119.95 ± 3.29, p = 0.02), Factor VIII (1.43 ± 0.06 vs 1.25 ± 0.04, p = 0.02) and platelet/granulocyte aggregates (median 383.0 vs 343.5, p = 0.02). Levels of neutrophils, monocytes, eosinophils, platelet count, platelet/monocyte granulocytes and von Willebrand factor were lower in bereaved at 6 months compared to acutely (all p &lt; 0.05). Conclusion: Acute bereavement is associated with inflammatory and prothrombotic changes that may contribute to the increased cardiovascular risk with bereavement and provide clues for future preventative strategies.</description><identifier>ISSN: 2047-4873</identifier><identifier>EISSN: 2047-4881</identifier><identifier>DOI: 10.1177/1741826711421686</identifier><identifier>PMID: 21900365</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Bereavement ; Female ; Follow-Up Studies ; Hemostasis - physiology ; Humans ; Incidence ; Inflammation - blood ; Inflammation - epidemiology ; Inflammation - psychology ; Male ; Middle Aged ; New South Wales - epidemiology ; Parents - psychology ; Prospective Studies ; Risk Assessment ; Risk Factors ; Spouses - psychology ; Thrombosis - blood ; Thrombosis - epidemiology ; Thrombosis - psychology</subject><ispartof>European journal of preventive cardiology, 2012-10, Vol.19 (5), p.1145-1152</ispartof><rights>The European Society of Cardiology 2011 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c445t-585f92d6a0d91c6fa6fb3736075fddd37d9b75b6c9eaaa4254605d4db358e9c73</citedby><cites>FETCH-LOGICAL-c445t-585f92d6a0d91c6fa6fb3736075fddd37d9b75b6c9eaaa4254605d4db358e9c73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1741826711421686$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1741826711421686$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21900365$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Buckley, Thomas</creatorcontrib><creatorcontrib>Morel-Kopp, Marie-Christine</creatorcontrib><creatorcontrib>Ward, Christopher</creatorcontrib><creatorcontrib>Bartrop, Roger</creatorcontrib><creatorcontrib>McKinley, Sharon</creatorcontrib><creatorcontrib>Mihailidou, Anastasia Susie</creatorcontrib><creatorcontrib>Spinaze, Monica</creatorcontrib><creatorcontrib>Chen, Walter</creatorcontrib><creatorcontrib>Tofler, Geoffrey</creatorcontrib><title>Inflammatory and thrombotic changes in early bereavement: a prospective evaluation</title><title>European journal of preventive cardiology</title><addtitle>Eur J Cardiovasc Prev Rehabil</addtitle><description>Aims: Although there is an increased cardiovascular risk in the immediate weeks following bereavement, the mechanism is not well understood. The aim of this study was to determine whether inflammatory and thrombotic changes were present in acute bereavement. Methods and results: Eighty bereaved spouses or parents were prospectively studied within 2 weeks of bereavement (acute) and at 6 months, and compared to 80 non-bereaved participants. Haemostatic measures were obtained between 8 a.m. and 11 a.m. and processed within 1 h. Compared to non-bereaved participants, those acutely bereaved had a higher neutrophil count (4.34 ± 0.19 vs 3.79 ± 0.15, p = &lt;0.001), von Willebrand factor antigen (132.33 ± 3.6 vs 119.95 ± 3.29, p = 0.02), Factor VIII (1.43 ± 0.06 vs 1.25 ± 0.04, p = 0.02) and platelet/granulocyte aggregates (median 383.0 vs 343.5, p = 0.02). Levels of neutrophils, monocytes, eosinophils, platelet count, platelet/monocyte granulocytes and von Willebrand factor were lower in bereaved at 6 months compared to acutely (all p &lt; 0.05). Conclusion: Acute bereavement is associated with inflammatory and prothrombotic changes that may contribute to the increased cardiovascular risk with bereavement and provide clues for future preventative strategies.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bereavement</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hemostasis - physiology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Inflammation - blood</subject><subject>Inflammation - epidemiology</subject><subject>Inflammation - psychology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>New South Wales - epidemiology</subject><subject>Parents - psychology</subject><subject>Prospective Studies</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Spouses - psychology</subject><subject>Thrombosis - blood</subject><subject>Thrombosis - epidemiology</subject><subject>Thrombosis - psychology</subject><issn>2047-4873</issn><issn>2047-4881</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kM1Lw0AQxRdRbKm9e5I9eonuZr8Sb1L8KBQE0XOY7E5qJB91Nyn0v3eltQfBucwcfu_x5hFyydkN58bcciN5lmrDuUy5zvQJmaZMmkRmGT893kZMyDyETxZHszTNsnMySXnOmNBqSl6XXdVA28LQ-x2FztHhw_dt2Q-1pfYDujUGWncUwTc7WqJH2GKL3XBHgW58HzZoh3qLFLfQjDDUfXdBzipoAs4Pe0beHx_eFs_J6uVpubhfJVZKNSQqU1WeOg3M5dzqCnRVCiM0M6pyzgnj8tKoUtscAUCmSmqmnHSlUBnm1ogZud77xhhfI4ahaOtgsWmgw34MBWciZyIWoCPK9qiNiYPHqtj4ugW_i1DxU2bxt8wouTq4j2WL7ij4rS4CyR4IsMbisx99F7_93_AbUeZ8bw</recordid><startdate>20121001</startdate><enddate>20121001</enddate><creator>Buckley, Thomas</creator><creator>Morel-Kopp, Marie-Christine</creator><creator>Ward, Christopher</creator><creator>Bartrop, Roger</creator><creator>McKinley, Sharon</creator><creator>Mihailidou, Anastasia Susie</creator><creator>Spinaze, Monica</creator><creator>Chen, Walter</creator><creator>Tofler, Geoffrey</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20121001</creationdate><title>Inflammatory and thrombotic changes in early bereavement: a prospective evaluation</title><author>Buckley, Thomas ; 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The aim of this study was to determine whether inflammatory and thrombotic changes were present in acute bereavement. Methods and results: Eighty bereaved spouses or parents were prospectively studied within 2 weeks of bereavement (acute) and at 6 months, and compared to 80 non-bereaved participants. Haemostatic measures were obtained between 8 a.m. and 11 a.m. and processed within 1 h. Compared to non-bereaved participants, those acutely bereaved had a higher neutrophil count (4.34 ± 0.19 vs 3.79 ± 0.15, p = &lt;0.001), von Willebrand factor antigen (132.33 ± 3.6 vs 119.95 ± 3.29, p = 0.02), Factor VIII (1.43 ± 0.06 vs 1.25 ± 0.04, p = 0.02) and platelet/granulocyte aggregates (median 383.0 vs 343.5, p = 0.02). Levels of neutrophils, monocytes, eosinophils, platelet count, platelet/monocyte granulocytes and von Willebrand factor were lower in bereaved at 6 months compared to acutely (all p &lt; 0.05). Conclusion: Acute bereavement is associated with inflammatory and prothrombotic changes that may contribute to the increased cardiovascular risk with bereavement and provide clues for future preventative strategies.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>21900365</pmid><doi>10.1177/1741826711421686</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; SAGE Complete; Alma/SFX Local Collection
subjects Adult
Aged
Aged, 80 and over
Bereavement
Female
Follow-Up Studies
Hemostasis - physiology
Humans
Incidence
Inflammation - blood
Inflammation - epidemiology
Inflammation - psychology
Male
Middle Aged
New South Wales - epidemiology
Parents - psychology
Prospective Studies
Risk Assessment
Risk Factors
Spouses - psychology
Thrombosis - blood
Thrombosis - epidemiology
Thrombosis - psychology
title Inflammatory and thrombotic changes in early bereavement: a prospective evaluation
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