Role of platelets in coronary thrombosis and reperfusion of ischemic myocardium.

Abstract:

:Platelet-dependent thrombus formation is a key event in the pathogenesis of acute myocardial infarction (AMI). Platelets mediate both thrombotic occlusion of the entire epicardial coronary artery and also accumulate in the microcirculation resulting in impairment of microcirculation and provoking myocardial ischemia during reperfusion. In the past, our understanding of platelet function in myocardial infarction (MI) and reperfusion has extended substantially resulting in development of novel and clinically effective treatment strategies. This review summarizes the mechanisms of coronary thrombosis and consequences of platelet accumulation in reperfused myocardium. Basic pathophysiological mechanisms of platelet adhesion and secretion are reviewed first, followed by the description of the molecular steps involved in platelet-mediated thrombus formation around an atherosclerotic plaque. Next, the role of platelets in inflammation is summarized with the focus on platelet-endothelium and platelet-leukocyte interactions.

journal_name

Cardiovasc Res

journal_title

Cardiovascular research

authors

Gawaz M

doi

10.1016/j.cardiores.2003.11.036

subject

Has Abstract

pub_date

2004-02-15 00:00:00

pages

498-511

issue

3

eissn

0008-6363

issn

1755-3245

pii

S0008636303007582

journal_volume

61

pub_type

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