Document Detail


Significance of elevated thrombin-antithrombin III complex and plasmin-alpha 2-plasmin inhibitor complex in the acute stage of nontraumatic subarachnoid hemorrhage.
MedLine Citation:
PMID:  7533897     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thrombin-antithrombin III complex (TAT) and plasmin-alpha 2-plasmin inhibitor complex (PIC) were examined in the acute stage in 51 patients with nontraumatic subarachnoid hemorrhage. TAT and PIC values were correlated with severity at the time of onset and with outcome. In the patients whose TAT levels were 25 ng/ml or more and PIC levels were 3.0 micrograms/ml or more (n = 16), only 25% had a good or fair outcome. In the patients with TAT levels less than 25 ng/ml or PIC levels less than 3.0 micrograms/ml (n = 35), on the other hand, 82.9% had a good or fair outcome. There were no significant differences in TAT and PIC levels between patients who experienced arterial spasm and those who did not. These results indicate that TAT and PIC values may reflect the severity of the brain damage induced by subarachnoid hemorrhage. It is speculated that marked coagulation and fibrinolytic disorders occur in the acute stage of subarachnoid hemorrhage.
Authors:
Y Itoyama; S Fujioka; S Takaki; M Morioka; T Hide; Y Ushio
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  35     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1994 Dec 
Date Detail:
Created Date:  1995-04-13     Completed Date:  1995-04-13     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1055-60     Citation Subset:  IM    
Affiliation:
Section of Neurosurgery, Saiseikai Kumamoto Hospital, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Antifibrinolytic Agents*
Antithrombin III / metabolism*
Blood Coagulation Tests
Brain Damage, Chronic / blood*,  diagnosis
Female
Fibrinolysin / metabolism*
Fibrinolysis
Follow-Up Studies
Humans
Ischemic Attack, Transient / blood,  diagnosis
Male
Middle Aged
Neurologic Examination
Peptide Hydrolases / metabolism*
Risk Factors
Subarachnoid Hemorrhage / blood*,  diagnosis
alpha-2-Antiplasmin / metabolism*
Chemical
Reg. No./Substance:
0/Antifibrinolytic Agents; 0/alpha-2-Antiplasmin; 0/antithrombin III-protease complex; 0/plasmin-plasmin inhibitor complex; 9000-94-6/Antithrombin III; EC 3.4.-/Peptide Hydrolases; EC 3.4.21.7/Fibrinolysin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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