Cardiovascular Disease Clinical Trial
Official title:
Cardiovascular Disease in Adult Haemophilia Patients
Life expectancy of hemophilia patients has improved considerably during the past decades and
is approaching that of the general population. Hemophilia patients are therefore likely to
be confronted with age-related disorders in addition to their primary illness and related
diseases. Little is known about the occurrence of age-related co-morbidity, especially
cardiovascular disease (CVD), in these patients. Low clotting factor levels are hypothesized
to protect against both atherosclerosis and thrombus formation, resulting in a reduced risk
of ischemic CVD. CVD mortality has been reported to be lower in haemophilia patients than in
the general population, but data on non-fatal CVD are lacking, and no adjustment for CVD
risk factors has been made so far.
The aim of our study is to assess the occurrence of CVD and its risk factors in a large
cohort of haemophilia patients.
In this prospective multicenter cohort study in a group of 700-800 male patients with
haemophilia A or B aged 30 years or older from The Netherlands and the UK, data on CVD
history and CVD risk factors will be collected at baseline and compared with the general
age-matched male population. Overall QRISK2 cardiovascular risk scores will be calculated
and also compared with the general population. During a follow-up period of 5 and 10 years
the occurrence of CVD events will be recorded and compared with the expected occurrence
based on the QRISK2 scores and with data from the general population.
n/a
Observational Model: Cohort, Time Perspective: Prospective
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