EFFECTS OF LONG-TERM TREATMENT WITH WARFARIN ON FIBRINOGEN, FPA, TAT, AND D-DIMER IN PATIENTS WITH CORONARY-ARTERY DISEASE

被引:22
作者
ERITSLAND, J [1 ]
SELJEFLOT, I [1 ]
ARNESEN, H [1 ]
SMITH, P [1 ]
WESTVIK, AB [1 ]
机构
[1] ULLEVAL HOSP,DEPT CLIN CHEM,OSLO 1,NORWAY
关键词
CORONARY ARTERY DISEASE; INTRAVASCULAR COAGULATION; THROMBIN GENERATION; ANTICOAGULATION; WARFARIN;
D O I
10.1016/0049-3848(92)90155-4
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Sixty-four patients undergoing aorto-coronary bypass surgery were randomized to receive antithrombotic treatment with acetylsalicylic acid (ASA), 300 mg/d (n = 30) or warfarin, INR = 2.5 4.2 (n = 34 ). The levels of fibrinogen, thrombin - antithrombin III complexes (TAT), fibrinopeptide A (FPA) and D-dimer were assessed before surgery and 9 months postoperatively. In the warfarin treated group the fibrinogen levels were increased after 9 months, while the levels of TAT, FPA and D-dimer were decreased. In the ASA group TAT levels were increased at 9 months, whereas no significant changes in fibrinogen, FPA or D-dimer from baseline were noted. Thus, a reduced activation of the coagulation system has been demonstrated during long-term treatment with warfarin in patients with coronary artery disease.
引用
收藏
页码:55 / 60
页数:6
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