Thrombin Activity and Early Outcome in Unstable Angina Pectoris

Diego Ardissino, Piera Angelica Merlini, Gabriella Gamba, Paolo Barberis, Gloria Demicheli, Sophie Testa, Elisabetta Colombi, Arnaldo Poli, Raffaela Fetiveau, Carlo Montemartini

Research output: Contribution to journalArticle

Abstract

Background The blood coagulation system is frequently activated in the acute phase of unstable angina, but it is unknown whether the augmented function of the hemostatic mechanism may serve as a marker of increased risk for an early unfavorable outcome. Methods and Results Plasma concentrations and 24-hour urinary excretion of fibrinopeptide A were prospectively determined in 150 patients with unstable angina. All patients underwent 24-hour Holter monitoring, during which time urine was collected; at the end of this period, a blood sample was taken and coronary arteriography was performed. The patients were followed up for the occurrence of cardiac events (death and myocardial infarction) until they underwent coronary revascularization or until they were discharged from the hospital. Fibrinopeptide A plasma levels and 24-hour urinary excretion were found to be abnormally elevated in 50% and 45% of the study population, respectively. During hospitalization, 11 patients developed myocardial infarction and 2 patients died. Kaplan-Meier analysis demonstrated a significantly higher probability of developing cardiac events in patients with abnormal rather than normal plasma levels of fibrinopeptide A (P

Original languageEnglish
Pages (from-to)1634-1639
Number of pages6
JournalCirculation
Volume93
Issue number9
Publication statusPublished - May 1 1996

Keywords

  • Angina
  • Prognosis
  • Thrombosis

ASJC Scopus subject areas

  • Physiology
  • Cardiology and Cardiovascular Medicine

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    Ardissino, D., Merlini, P. A., Gamba, G., Barberis, P., Demicheli, G., Testa, S., Colombi, E., Poli, A., Fetiveau, R., & Montemartini, C. (1996). Thrombin Activity and Early Outcome in Unstable Angina Pectoris. Circulation, 93(9), 1634-1639.