Accelerated fibrin clot degradation is associated with arterial thromboembolism in patients following venous thrombosis: a cohort study.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
26 10 2021
Historique:
received: 19 02 2021
accepted: 24 09 2021
entrez: 27 10 2021
pubmed: 28 10 2021
medline: 1 2 2022
Statut: epublish

Résumé

Several lines of evidence have suggested that patients following venous thromboembolism (VTE) are at higher risk of arterial thromboembolism (ATE). Prothrombotic fibrin clot characteristics were reported in individuals with cardiovascular risk factors. We investigated whether specific fibrin clot properties measured after 3-4 months of anticoagulation characterize VTE patients with subsequent ATE. We enrolled 320 patients following VTE aged below 70 years (median age, 46). Ten patients were lost to follow-up. ATE occurred in 21 individuals after a median 54 (31-68) months during a follow-up of 87.5 months (incidence 0.94%; 95% confidence interval [CI], 0.59-1.4 per patient-year). Patients with ATE had faster fibrin clot degradation, reflected by maximum rate of D-dimer increase during plasma clot lysis induced by tissue-type plasminogen activator (D-D

Identifiants

pubmed: 34702844
doi: 10.1038/s41598-021-00411-6
pii: 10.1038/s41598-021-00411-6
pmc: PMC8548328
doi:

Substances chimiques

Fibrin Fibrinogen Degradation Products 0
fibrin fragment D 0

Types de publication

Clinical Trial Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

21003

Informations de copyright

© 2021. The Author(s).

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Auteurs

Sandra Mrozinska (S)

Department of Metabolic Diseases, Faculty of Medicine, Jagiellonian University Medical College, Krakow, Poland.
Department of Metabolic Diseases, University Hospital, Krakow, Poland.

Ewa Wypasek (E)

Krakow Centre for Medical Research and Technologies, John Paul II Hospital, Krakow, Poland.
Faculty of Medicine and Health Science, Andrzej Frycz Modrzewski Krakow University, Krakow, Poland.

Elżbieta Broniatowska (E)

Faculty of Medicine and Health Science, Andrzej Frycz Modrzewski Krakow University, Krakow, Poland.

Anetta Undas (A)

Krakow Centre for Medical Research and Technologies, John Paul II Hospital, Krakow, Poland. mmundas@cyf-kr.edu.pl.
Institute of Cardiology, Faculty of Medicine, Jagiellonian University Medical College, 80 Pradnicka St, 31-202, Krakow, Poland. mmundas@cyf-kr.edu.pl.

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