Hypercoagulability in acute stroke: Prognostic significance

G. Landi, A. D’Angelo, E. Boccardi, L. Candelise, P. M. Mannucci, E. Nobile Orazio, A. Morabito

Research output: Contribution to journalArticle

Abstract

To evaluate the clinical significance of hemostatic abnormalities in acute stroke, we studied coagulation and platelet function in 70 patients with recent cerebral infarction or hemorrhage and in 45 age-matched controls. Higher levels of one-stage factor VIII coagulant activity, fibrinopeptide A (FPA), and beta-thromboglobulin were associated with the occurrence of stroke. All hemostatic test results were remarkably similar in patients with ischemic and hemorrhagic stroke. FPA levels and size of the lesion on CT were the only variables independently predicting mortality in a multivariate regression analysis. Our findings demonstrate that hypercoagulability is an important prognostic factor in stroke and lend support to clinical trials of drugs interfering with the coagulation system in the early phase of cerebral ischemia.

Original languageEnglish
Pages (from-to)1667-1671
Number of pages5
JournalNeurology
Volume37
Issue number10
Publication statusPublished - 1987

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Clinical Neurology
  • Neuroscience(all)

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  • Cite this

    Landi, G., D’Angelo, A., Boccardi, E., Candelise, L., Mannucci, P. M., Nobile Orazio, E., & Morabito, A. (1987). Hypercoagulability in acute stroke: Prognostic significance. Neurology, 37(10), 1667-1671.