Determinants of Endogenous Fibrinolysis in Whole Blood Under High Shear in Patients With Myocardial Infarction



Kanji, Rahim, Gue, Ying X ORCID: 0000-0001-9994-8915, Farag, Mohamed F, Spencer, Neil H, Mutch, Nicola J and Gorog, Diana A
(2022) Determinants of Endogenous Fibrinolysis in Whole Blood Under High Shear in Patients With Myocardial Infarction. JACC-BASIC TO TRANSLATIONAL SCIENCE, 7 (11). pp. 1069-1082.

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Abstract

Hypofibrinolysis is a recently-recognized risk factor for recurrent cardiovascular events in patients with ST-segment elevation myocardial infarction (STEMI), but the mechanistic determinants of this are not well understood. In patients with STEMI, we show that the effectiveness of endogenous fibrinolysis in whole blood is determined in part by fibrinogen level, high sensitivity C-reactive protein, and shear-induced platelet reactivity, the latter directly related to the speed of thrombin generation. Our findings strengthen the evidence for the role of cellular components and bidirectional crosstalk between coagulatory and inflammatory pathways as determinants of hypofibrinolysis.

Item Type: Article
Uncontrolled Keywords: &nbsp, fibrinolysis, myocardial infarction, platelet function, thrombosis
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences
Depositing User: Symplectic Admin
Date Deposited: 29 Sep 2023 10:44
Last Modified: 29 Sep 2023 10:44
DOI: 10.1016/j.jacbts.2022.05.007
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3173217