Precision Treatment in ACS-Role of Assessing Fibrinolysis.

acute coronary syndrome endogenous fibrinolysis precision medicine

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
01 Mar 2021
Historique:
received: 29 01 2021
revised: 17 02 2021
accepted: 18 02 2021
entrez: 3 4 2021
pubmed: 4 4 2021
medline: 4 4 2021
Statut: epublish

Résumé

Despite advancements in pharmacotherapy and interventional strategies, patients with acute coronary syndrome (ACS) remain at risk of recurrent thrombotic events. In addition to an enhanced tendency to thrombus formation, impairment in the ability to naturally dissolve or lyse a developing thrombus, namely impaired endogenous fibrinolysis, is responsible for a major part of this residual risk regardless of optimal antiplatelet medication. Global assessment of endogenous fibrinolysis, including a point-of-care assay, can identify patients with ACS at persistent high cardiovascular risk and might play an important role in allowing the personalisation of potent antithrombotic therapy to enhance fibrinolytic status, providing precision treatment of ACS to improve long-term outcome.

Identifiants

pubmed: 33804303
pii: jcm10050929
doi: 10.3390/jcm10050929
pmc: PMC7957496
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

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Auteurs

Ying X Gue (YX)

Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool L14 3PE, UK.
Department of Life and Medical Sciences, University of Hertfordshire, Hatfield AL10 9AB, UK.

Young-Hoon Jeong (YH)

Department of Internal Medicine, Gyeongsang National University School of Medicine and Cardiovascular Center, Gyeongsang National University Changwon Hospital, Changwon 51472, Korea.

Mohamed Farag (M)

Department of Life and Medical Sciences, University of Hertfordshire, Hatfield AL10 9AB, UK.

Nikolaos Spinthakis (N)

Department of Life and Medical Sciences, University of Hertfordshire, Hatfield AL10 9AB, UK.

Diana A Gorog (DA)

Department of Life and Medical Sciences, University of Hertfordshire, Hatfield AL10 9AB, UK.
National Heart and Lung Institute, Imperial College, London SW3 6LY, UK.

Classifications MeSH