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首页> 外文期刊>Cardiology Journal >Evaluation of thrombinogenesis in vivo in acute myocardial infarction in relation to concentrations of thrombin-antithrombin III complexes and antithrombin III activity
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Evaluation of thrombinogenesis in vivo in acute myocardial infarction in relation to concentrations of thrombin-antithrombin III complexes and antithrombin III activity

机译:与凝血酶-抗凝血酶III复合物的浓度和抗凝血酶III活性相关的急性心肌梗死体内凝血酶生成的评估

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Background: Thrombotic processes play an essential role in the progression of the atheromatosis and pathogenesis of acute coronary syndromes. The role of haemostatic factors in the development of circulatory system diseases, ischaemic heart disease in particular, has met with great research interest. The purpose of the present research is to define the role of haemostatic factors in the pathogenesis of atheromatosis and ischaemic heart disease and also to deal with their impact on diagnosis and prognosis. The aim of the present study was to evaluate thrombin generation in vivo and to define the role of the main inhibitor of coagulation in patients with acute myocardial infarction. Methods: The study was performed using a group of 70 patients with acute myocardial infarction with ST segment elevation (STEMI). The control group comprised 25 healthy subjects matched for age and gender. Concentrations of thrombin-antithrombin III complexes (TAT complexes) and antithrombin III (AT III) activity were measured; the sample was taken before essential treatment was administered. Results: In a group of patients with myocardial infarction, significantly higher average concentrations of TAT complexes (p Conclusions: The results provide evidence of an intensification of thrombinogenesis processes in patients with acute myocardial infarction. The increase of AT III activity may reflect a compensatory mechanism of the haemostatic system with regard to intensified thrombinogenesis.
机译:背景:血栓形成过程在动脉粥样硬化的发展和急性冠脉综合征的发病机理中起着至关重要的作用。止血因子在循环系统疾病,特别是缺血性心脏病的发展中的作用引起了极大的研究兴趣。本研究的目的是确定止血因子在动脉粥样硬化和缺血性心脏病的发病机理中的作用,并探讨其对诊断和预后的影响。本研究的目的是评估体内凝血酶的产生并确定凝血的主要抑制剂在急性心肌梗死患者中的作用。方法:本研究是对70例ST段抬高(STEMI)的急性心肌梗死患者进行的。对照组包括年龄和性别相匹配的25名健康受试者。测量凝血酶-抗凝血酶III复合物(TAT复合物)和抗凝血酶III(AT III)活性的浓度;在进行基本治疗之前采集样品。结果:在一组心肌梗死患者中,TAT复合物的平均浓度显着升高(p结论:结果提供了急性心肌梗死患者凝血酶生成过程增强的证据。AT III活性的增加可能反映了一种补偿机制。止血系统在强化凝血酶方面的作用。

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