Thrombosis and acute coronary syndrome.

Abstract:

:Acute coronary syndromes (ACS) represent the main clinical manifestation of atherosclerotic progression in the coronary district. Thrombosis plays a critical role in the patho-anatomical of ACS, as disruption of an atherosclerotic plaque exposes flowing blood to subendothelial collagen, tissue factor, and other procoagulant molecules that trigger activation of platelets and formation of fibrin within the vessel lumen. Endothelial damage/dysfunction, inflammation and coagulation are closely related to the pathophysiology of ACS and may be inter-related. Platelets play key roles in both the formation of the atheromatous plaque and clinical presentation of acute atherothrombotic events following plaque rupture. In the pathogenesis of the ACS, blood clotting activation has a crucial role and thrombin generation and TF may represent useful markers for the identification of patients at high risk of vascular events. Lipoprotein-associated phospholipase A2 (Lp-PLA2) represents the crossroads between lipid metabolism and inflammatory response.

journal_name

Thromb Res

journal_title

Thrombosis research

authors

Abbate R,Cioni G,Ricci I,Miranda M,Gori AM

doi

10.1016/j.thromres.2011.12.026

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

235-40

issue

3

eissn

0049-3848

issn

1879-2472

pii

S0049-3848(11)00691-8

journal_volume

129

pub_type

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