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Correlation between left atrial size, prothrombotic state and markers of endothelial dysfunction in patients with lone chronic nonrheumatic atrial fibrillation

Atrial fibrillation is associated with a prothrombotic state and endothelial dysfunction. To understand whether the prothrombotic state was correlated with endothelial dysfunction and whether the latter was related to atrial dimension (endocardial damage), we studied systemic hemocoagulative activit...

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Published in:International journal of cardiology 2000-09, Vol.75 (2), p.227-232
Main Authors: Mondillo, Sergio, Sabatini, Laura, Agricola, Eustachio, Ammaturo, Tiziana, Guerrini, Francesco, Barbati, Riccardo, Pastore, Monica, Fineschi, Daniela, Nami, Renato
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container_title International journal of cardiology
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creator Mondillo, Sergio
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description Atrial fibrillation is associated with a prothrombotic state and endothelial dysfunction. To understand whether the prothrombotic state was correlated with endothelial dysfunction and whether the latter was related to atrial dimension (endocardial damage), we studied systemic hemocoagulative activity and markers of endothelial dysfunction in 45 patients with chronic nonrheumatic atrial fibrillation and in 35 controls. We assessed fibrinogen, antithrombin III, protein C, markers of platelet activation (platelet factor 4 and β-thromboglobulin) as markers of fibrinolysis, and D-dimer, tissue plasminogen activator, plasminogen activator inhibitor, von Willebrand’s factor and soluble thrombomodulin as endothelial dysfunction. Plasma fibrinogen ( P
doi_str_mv 10.1016/S0167-5273(00)00336-3
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To understand whether the prothrombotic state was correlated with endothelial dysfunction and whether the latter was related to atrial dimension (endocardial damage), we studied systemic hemocoagulative activity and markers of endothelial dysfunction in 45 patients with chronic nonrheumatic atrial fibrillation and in 35 controls. We assessed fibrinogen, antithrombin III, protein C, markers of platelet activation (platelet factor 4 and β-thromboglobulin) as markers of fibrinolysis, and D-dimer, tissue plasminogen activator, plasminogen activator inhibitor, von Willebrand’s factor and soluble thrombomodulin as endothelial dysfunction. Plasma fibrinogen ( P<0.005), platelet factor 4 ( P<0.001), thromboglobulin ( P<0.001), D-dimer ( P<0.03), tissue plasminogen activator ( P<0.006), plasminogen activator inhibitor ( P<0.04) and both von Willebrand’s factor ( P<0.0001) and soluble thrombomodulin ( P<0.03) were significantly higher in the patients than in the controls. Positive significant linear correlations were found between fibrinogen and markers of endothelial dysfunction and left atrial volume and fibrinogen or markers of endothelial dysfunction. These findings confirm that chronic nonrheumatic atrial fibrillation is associated with a prothrombotic state but also suggest that there is a correlation between endothelial dysfunction, coagulation factors and left atrial dimension.]]></description><identifier>ISSN: 0167-5273</identifier><identifier>EISSN: 1874-1754</identifier><identifier>DOI: 10.1016/S0167-5273(00)00336-3</identifier><identifier>PMID: 11077138</identifier><identifier>CODEN: IJCDD5</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Aged ; Atrial Fibrillation - blood ; Atrial Fibrillation - pathology ; Atrial Fibrillation - physiopathology ; Biological and medical sciences ; Biomarkers ; Cardiac dysrhythmias ; Cardiology. 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To understand whether the prothrombotic state was correlated with endothelial dysfunction and whether the latter was related to atrial dimension (endocardial damage), we studied systemic hemocoagulative activity and markers of endothelial dysfunction in 45 patients with chronic nonrheumatic atrial fibrillation and in 35 controls. We assessed fibrinogen, antithrombin III, protein C, markers of platelet activation (platelet factor 4 and β-thromboglobulin) as markers of fibrinolysis, and D-dimer, tissue plasminogen activator, plasminogen activator inhibitor, von Willebrand’s factor and soluble thrombomodulin as endothelial dysfunction. Plasma fibrinogen ( P<0.005), platelet factor 4 ( P<0.001), thromboglobulin ( P<0.001), D-dimer ( P<0.03), tissue plasminogen activator ( P<0.006), plasminogen activator inhibitor ( P<0.04) and both von Willebrand’s factor ( P<0.0001) and soluble thrombomodulin ( P<0.03) were significantly higher in the patients than in the controls. 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To understand whether the prothrombotic state was correlated with endothelial dysfunction and whether the latter was related to atrial dimension (endocardial damage), we studied systemic hemocoagulative activity and markers of endothelial dysfunction in 45 patients with chronic nonrheumatic atrial fibrillation and in 35 controls. We assessed fibrinogen, antithrombin III, protein C, markers of platelet activation (platelet factor 4 and β-thromboglobulin) as markers of fibrinolysis, and D-dimer, tissue plasminogen activator, plasminogen activator inhibitor, von Willebrand’s factor and soluble thrombomodulin as endothelial dysfunction. Plasma fibrinogen ( P<0.005), platelet factor 4 ( P<0.001), thromboglobulin ( P<0.001), D-dimer ( P<0.03), tissue plasminogen activator ( P<0.006), plasminogen activator inhibitor ( P<0.04) and both von Willebrand’s factor ( P<0.0001) and soluble thrombomodulin ( P<0.03) were significantly higher in the patients than in the controls. Positive significant linear correlations were found between fibrinogen and markers of endothelial dysfunction and left atrial volume and fibrinogen or markers of endothelial dysfunction. These findings confirm that chronic nonrheumatic atrial fibrillation is associated with a prothrombotic state but also suggest that there is a correlation between endothelial dysfunction, coagulation factors and left atrial dimension.]]></abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>11077138</pmid><doi>10.1016/S0167-5273(00)00336-3</doi><tpages>6</tpages></addata></record>
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subjects Aged
Atrial Fibrillation - blood
Atrial Fibrillation - pathology
Atrial Fibrillation - physiopathology
Biological and medical sciences
Biomarkers
Cardiac dysrhythmias
Cardiology. Vascular system
Chronic Disease
Endothelial dysfunction
Endothelium, Vascular
Female
Fibrinogen - analysis
Heart
Heart Atria - pathology
Hemodynamics
Humans
Hypercoagulability
Left atrium
Male
Medical sciences
Middle Aged
Nonrheumatic atrial fibrillation
Plasminogen Inactivators - analysis
Platelet Activation
von Willebrand Factor - analysis
title Correlation between left atrial size, prothrombotic state and markers of endothelial dysfunction in patients with lone chronic nonrheumatic atrial fibrillation
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