Increased Clot Formation in the Absence of Increased Thrombin Generation in Patients with Peripheral Arterial Disease: A Case–Control Study

Autor: Marie-Claire F. Kleinegris, Joke Konings, Jan W. Daemen, Yvonne Henskens, Bas de Laat, Henri M. H. Spronk, Arina J. ten Cate-Hoek, Hugo ten Cate
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Frontiers in Cardiovascular Medicine, Vol 4 (2017)
Druh dokumentu: article
ISSN: 2297-055X
DOI: 10.3389/fcvm.2017.00023
Popis: BackgroundIn peripheral arterial disease (PAD), activation of the hemostatic system may contribute to atherosclerosis progression and atherothrombotic events.ObjectiveThis case–control study assesses the overall coagulation status in PAD patients by evaluating coagulation markers in combination with thrombin generation potential, whole blood (WB) clot formation, and fibrinolysis.MethodsIn blood from 40 PAD patients (n = 20 with cardiovascular event within 1 year after initial diagnosis, n = 20 without) and 40 apparently healthy controls, thrombin generation was determined in WB and platelet-poor plasma. Whole blood rotational thromboelastometry (ROTEM) measurements were triggered with tissue factor with/without tissue plasminogen activator.ResultsWe observed increased levels of erythrocyte sedimentation rate, leukocytes, eosinophil granulocytes, vWF antigen, fibrinogen, and D-dimer in PAD patients (p
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