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Combined Near-infrared Fluorescent Imaging and Micro-computed Tomography for Directly Visualizing Cerebral Thromboemboli
Published on: September 25, 2016
[Involvement of thrombophilia in coronary thrombosis]
1CREATIF (centre de référence et d'éducation aux antithrombotiques d'Île-de-France), service de cardiologie, hôpital Lariboisière, 2, rue Ambroise-Paré, 75010 Paris, France.
Insights
This review explores thrombophilia, examining classical and exceptional factors contributing to both venous and arterial thrombosis, particularly coronary thrombosis. It highlights specific arterial thrombophilia like homocystein and serotonin, and includes conditions such as cancer and inflammation.
Area of Science:
- Cardiovascular Medicine
- Hematology
- Pathophysiology
Background:
- Thrombophilia encompasses conditions predisposing to thrombosis.
- Classical thrombophilia is primarily associated with venous pathology.
- Arterial thrombosis, especially coronary thrombosis, requires understanding specific thrombotic factors.
Purpose of the Study:
- To review classical and exceptional thrombophilia in the context of coronary thrombosis.
- To identify thrombophilic factors relevant to arterial versus venous pathology.
- To explore the role of specific agents like homocystein and serotonin in arterial thrombosis.
Main Methods:
- Literature review of thrombophilia and thrombosis.
- Analysis of classical and exceptional thrombophilic conditions.
- Examination of specific arterial thrombotic factors and associated conditions.
Main Results:
- Classical thrombophilia can be relevant to coronary thrombosis.
- Exceptional thrombophilias contribute to both venous and arterial thrombosis.
- Homocystein and serotonin are identified as specific arterial thrombotic agents, with homocystein also causing arterial wall lesions and serotonin inducing coronary spasm.
- Cancer and inflammatory conditions are recognized as thrombophilic states.
Conclusions:
- Understanding diverse thrombophilia is crucial for managing arterial thrombosis, including coronary events.
- Specific factors like homocystein and serotonin warrant attention in arterial thrombotic disease.
- Thrombophilic conditions such as cancer and inflammation are integral to the broader scope of thrombophilia.
Abstract:
This review of thrombophilia and coronary thrombosis takes into account the "classical" thrombophilia commonly found in venous pathology and the conditions under which their research may be useful in certain forms of arterial thrombosis especially coronary thrombosis. In addition to the classical thrombophilia, exceptional thrombophilia are evoked, which are both factors of venous thrombosis but also arterial thrombosis. There are also thrombophilia that are more specific to the arterial system such as - homocystein which is potentially both a thrombosis factor but also an agent of arterial parietal lesion or - serotonin which is a factor of arterial spasm and especially coronary spasm. Finally, under the term thrombophilia, it is possible to include thrombophilic conditions, in particular cancers and inflammatory conditions.
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