Thrombosis and Acute coronary syndrome

被引:108
作者
Abbate, Rosanna [1 ]
Cioni, Gabriele [1 ]
Ricci, Ilaria [1 ]
Miranda, Marco [1 ]
Gori, Anna Maria [1 ]
机构
[1] Univ Florence, Dept Med & Surg Crit Care, SOD Atherothrombot Dis, AOU Careggi, I-50134 Florence, Italy
关键词
Thrombosis; Acute coronary syndrome; Hemostasis; Inflammation; PHOSPHOLIPASE A(2); TISSUE FACTOR; CARDIOVASCULAR OUTCOMES; ARTERIAL THROMBOSIS; FIBRINOPEPTIDE-A; EVENTS; RISK; INFLAMMATION; ASSOCIATION; ACTIVATION;
D O I
10.1016/j.thromres.2011.12.026
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Acute coronary syndromes (ACS) represent the main clinical manifestation of atherosclerotic progression in the coronary district. Thrombosis plays a critical role in the patho-anatomical of ACS, as disruption of an atherosclerotic plaque exposes flowing blood to subendothelial collagen, tissue factor, and other procoagulant molecules that trigger activation of platelets and formation of fibrin within the vessel lumen. Endothelial damage/dysfunction, inflammation and coagulation are closely related to the pathophysiology of ACS and may be inter-related. Platelets play key roles in both the formation of the atheromatous plaque and clinical presentation of acute atherothrombotic events following plaque rupture. In the pathogenesis of the ACS, blood clotting activation has a crucial role and thrombin generation and TF may represent useful markers for the identification of patients at high risk of vascular events. Lipoprotein-associated phospholipase A2 (Lp-PLA2) represents the crossroads between lipid metabolism and inflammatory response. (C) 2012 Elsevier Ltd. All rights reserved.
引用
收藏
页码:235 / 240
页数:6
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