The spectrum of thrombin in acute coronary syndromes.

Abstract:

:The role of thrombin in vascular physiology and pathophysiology continues to impact our understanding of many cellular processes and systems including the function of platelets, endothelial cells, smooth muscle cells, leukocytes and the regulation of the coagulation cascade. Recent acute coronary syndrome clinical trial results that have compared the use of parenteral or oral anticoagulants versus or in combination with anti-platelet agents have forced a reexamination of the importance of thrombin activity in influencing patient outcomes, particularly in the area of secondary prevention. The debate of the need to include oral anticoagulation as a concomitant or replacement therapy to an antiplatelet regimen as a means to improve patient outcomes requires further examination and larger prospective clinical trials.

journal_name

Thromb Res

journal_title

Thrombosis research

authors

Giri S,Jennings LK

doi

10.1016/j.thromres.2015.02.013

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

782-7

issue

5

eissn

0049-3848

issn

1879-2472

pii

S0049-3848(15)00085-7

journal_volume

135

pub_type

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