The biology of thrombin in acute coronary syndromes.

Abstract:

:Thrombin, a serine protease, is the keystone of the twin processes of hemostasis and thrombosis. Through procoagulant, anticoagulant, and antifibrinolytic mechanisms, thrombin helps maintain vascular integrity in the face of hemorrhage. These same mechanisms, however, allow for the pathologic formation of thrombi in response to endothelial damage, which accompanies the erosion or rupture of atherosclerotic plaques. Alone or incorporated into plaques, thrombi can cause vessel occlusion resulting in acute coronary syndromes (ACS). Inhibiting thrombin can improve clinical outcomes in ACS, as well as in procedures such as percutaneous coronary interventions, which are designed to open the occluded vessels that cause ACS. Such improvements in outcomes with thrombin inhibition reflect the central and multivariate role of thrombin in thrombus formation.

journal_name

Pharmacotherapy

journal_title

Pharmacotherapy

authors

Nappi J

doi

10.1592/phco.22.10.90s.33617

subject

Has Abstract

pub_date

2002-06-01 00:00:00

pages

90S-96S

issue

6 Pt 2

eissn

0277-0008

issn

1875-9114

journal_volume

22

pub_type

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