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Published on: April 17, 2021
The Role of Coagulation in Heart Failure: A Literature Review
Farhan Anjum1, Mahrukh Gilani2, Maryam Latif1
1Institute of Zoology, University of Punjab, Quaid-I-Azam Campus, Lahore, Pakistan.
Insights
Coagulation factors like D-dimer and fibrinogen are key in heart failure pathophysiology. Understanding these roles aids in diagnosing and treating heart failure effectively.
Area of Science:
- Cardiovascular Medicine
- Hematology
- Biochemistry
Background:
- Heart failure (HF) involves complex pathophysiological mechanisms.
- Coagulation system dysregulation is increasingly recognized in HF.
Purpose of the Study:
- To review the role of various coagulation factors in heart failure pathophysiology.
- To explore their diagnostic, prognostic, and therapeutic implications.
Main Methods:
- Literature review of studies investigating coagulation factors in heart failure.
- Analysis of associations between specific factors and HF pathology.
Main Results:
- D-dimer, P-selectin, prothrombin, von Willebrand factor, tissue plasminogen activator, fibrinogen, suPAR, tissue factor, thrombomodulin, and Factor XI are significantly involved in HF pathophysiology.
- No associations were found for β-thromboglobulin, tissue thromboplastin, PAI-1, and stuart-prower factor in HF.
- Coagulation factor changes are linked to HF diagnosis, prognosis, and treatment.
Conclusions:
- Specific coagulation factors play crucial roles in the development and progression of heart failure.
- Targeting these factors may offer new avenues for heart failure management.
Purpose Of Review:
This article summarizes the role of coagulation factors in the pathophysiology of heart failure including D-dimer, fibrinogen and fibrin, prothrombin, p-selectin, tissue factor, tissue plasminogen activator, von Willebrand factor, β-thromboglobulin, Factor XI, tissue thromboplastin, plasminogen activator inhibitor-1 (PAI-1), thrombomodulin, soluble urokinase-type plasminogen activator receptor (suPAR) and stuart-prower factor.
Recent Findings:
The D-dimer, P-selectin, prothrombin, von Willebrand factor, tissue plasminogen activator, fibrinogen, suPAR, tissue factor, thrombomodulin and Factor XI play significant roles the pathophysiology of heart failure. However, no associations were found between β-thromboglobulin, tissue thromboplastin, PAI-1 and stuart-prower factor in the context of heart failure. Coagulation factors play significant role in the pathophysiology of heart failure. Consequently, the underlying pathophysiological mechanisms that explain changes in the cascade are closely related to the diagnostic, prognostic and therapeutic roles of coagulation cascade factors, which help physicians identify and treat heart failure.
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