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Progressive intermittent claudication is associated with impaired fibrinolysis

Purpose: Acute complications of atherosclerosis such as stroke and myocardial infarction are caused by thrombosis and may be associated with impaired fibrinolytic activity. The current study was performed to determine whether peripheral arterial disease (PAD) and its progression are also associated...

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Published in:Journal of vascular surgery 1998-04, Vol.27 (4), p.645-650
Main Authors: Killewich, Lois A., Gardner, Andrew W., Macko, Richard F., Hanna, Dinah J., Goldberg, Andrew P., Cox, D.Kim, Flinn, William R.
Format: Article
Language:English
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Summary:Purpose: Acute complications of atherosclerosis such as stroke and myocardial infarction are caused by thrombosis and may be associated with impaired fibrinolytic activity. The current study was performed to determine whether peripheral arterial disease (PAD) and its progression are also associated with impaired fibrinolysis, by measurement of tissue plasminogen activator (tPA, the activator of fibrinolysis) and its inhibitor plasminogen activator inhibitor-1 (PAI-1). Methods: The study group consisted of 80 men with a mean age of 69 years. This included 18 patients with mild intermittent claudication (MC, pain-free walking distance ≥200 meters) and 51 patients with severe claudication (SC, walking distance
ISSN:0741-5214
1097-6809
DOI:10.1016/S0741-5214(98)70229-0