Hemostasis and Thrombosis in Extreme Temperatures (Hypo- and Hyperthermia).

Abstract:

:The delicate biochemistry of coagulation and anticoagulation is greatly affected by deviations from the optimal temperature required for the interactions between various coagulation enzymes, cellular receptors, and intracellular mechanisms. Hyperthermia will lead to a prothrombotic state and, if sufficiently severe such as in heatstroke, a consumption coagulopathy, which will clinically manifest with the simultaneous appearance of intravascular thrombotic obstruction and an increased bleeding tendency. Hypothermia slows down the coagulation process, but as this seems to be adequately balanced by impairment of anticoagulant and fibrinolytic processes, its clinical effects are modest; however, hypothermia may be modestly linked to a somewhat higher risk of localized thrombosis. Restoration of a normal body temperature in patients affected by hyper- or hypothermia is the cornerstone for the management of associated coagulation derangements.

journal_name

Semin Thromb Hemost

authors

Levi M

doi

10.1055/s-0038-1648231

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

651-655

issue

7

eissn

0094-6176

issn

1098-9064

journal_volume

44

pub_type

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