[The prognostic significance of hemostatic system factors in patients with ischemic heart disease]. 1993

D A Zateĭshchikov, and O V Averkov, and A D Deev, and A B Dobrovol'skiĭ, and Iu A Zuĭnov, and D V Istrin, and N A Gratsianskiĭ

The study was undertaken to elucidate the role of hemostatic parameters versus clinical data in the development of myocardial infarction and cardiac death. A total of 56 patients who suffered from angiographically documented coronary heart disease were examined. In addition to coronary angiography, bicycle ergometry, blood lipid measurements performed, the authors measured the levels of fibrinogen (FG), C protein, plasminogen, antiplasmin, fibrinogen/fibrin degradation products, tissue plasminogen activator (TPA) in venous occlusion, its inhibitor. The follow-up averaged 718 +/- 32.4 days. Nine patients developed large myocardial infarction, 6 died. In patients with poor prognosis, the baseline levels of FG and TPA were significantly higher: 3.35 +/- 0.168 and 2.73 +/- 0.79 g/l (P = 0.007) and 129.3 +/- 67.8 +/- 6.5 IU/ml (p = 0.049), respectively. A multifactorial discriminant analysis showed that TPA was the first to be of prognostic value in predicting the unfavourable prognosis, whereas FG and the number of coronary arteries with more than 70% narrowing and cholesterol levels were the second, third, and fourth. Thus, it was found that in addition to the levels of cholesterol and the number of diseased coronary arteries, the levels of TPA and FG appeared to be the most significant determinants of a patient's prognosis.

UI MeSH Term Description Entries
D009031 Moscow The capital of Russia.
D009203 Myocardial Infarction NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION). Cardiovascular Stroke,Heart Attack,Myocardial Infarct,Cardiovascular Strokes,Heart Attacks,Infarct, Myocardial,Infarction, Myocardial,Infarctions, Myocardial,Infarcts, Myocardial,Myocardial Infarctions,Myocardial Infarcts,Stroke, Cardiovascular,Strokes, Cardiovascular
D011379 Prognosis A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations. Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006487 Hemostasis The process which spontaneously arrests the flow of BLOOD from vessels carrying blood under pressure. It is accomplished by contraction of the vessels, adhesion and aggregation of formed blood elements (eg. ERYTHROCYTE AGGREGATION), and the process of BLOOD COAGULATION. Hemostases
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D016002 Discriminant Analysis A statistical analytic technique used with discrete dependent variables, concerned with separating sets of observed values and allocating new values. It is sometimes used instead of regression analysis. Analyses, Discriminant,Analysis, Discriminant,Discriminant Analyses
D016757 Death, Sudden, Cardiac Unexpected rapid natural death due to cardiovascular collapse within one hour of initial symptoms. It is usually caused by the worsening of existing heart diseases. The sudden onset of symptoms, such as CHEST PAIN and CARDIAC ARRHYTHMIAS, particularly VENTRICULAR TACHYCARDIA, can lead to the loss of consciousness and cardiac arrest followed by biological death. (from Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, 7th ed., 2005) Cardiac Sudden Death,Sudden Cardiac Death,Cardiac Arrest, Sudden,Sudden Cardiac Arrest,Arrest, Sudden Cardiac,Cardiac Arrests, Sudden,Cardiac Death, Sudden,Death, Cardiac Sudden,Death, Sudden Cardiac,Sudden Death, Cardiac
D017202 Myocardial Ischemia A disorder of cardiac function caused by insufficient blood flow to the muscle tissue of the heart. The decreased blood flow may be due to narrowing of the coronary arteries (CORONARY ARTERY DISEASE), to obstruction by a thrombus (CORONARY THROMBOSIS), or less commonly, to diffuse narrowing of arterioles and other small vessels within the heart. Severe interruption of the blood supply to the myocardial tissue may result in necrosis of cardiac muscle (MYOCARDIAL INFARCTION). Heart Disease, Ischemic,Ischemia, Myocardial,Ischemic Heart Disease,Disease, Ischemic Heart,Diseases, Ischemic Heart,Heart Diseases, Ischemic,Ischemias, Myocardial,Ischemic Heart Diseases,Myocardial Ischemias

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