Summary
Several haemostatic factors have been associated with incident arterial cardiovascular
disease in prospective studies and meta-analyses. Plasma fibrinogen shows a strong
and consistent association with risk; however, this may reflect its inflammatory marker
status, and causality remains to be proven. The common haemostatic gene polymorphisms
for factor II, factor V and the von Willebrand factor: Factor VIII (non-O blood group)
show significant associations with coronary heart disease (CHD) risk, consistent with
potential causality. Increased D-dimer and t-PA antigen levels are associated with
CHD risk, suggesting roles for coagulation activation and endothelial disturbance.
There is little evidence for associations with CVD with other haemostatic factors.
Keywords
Arterial thrombosis - epidemiological studies - coagulation factors