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April 1, 1982BloodOpen Access

Factors affecting fibrinopeptide-A levels in patients with venous thromboembolism during anticoagulant therapy

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Why the study?

Does monitoring fibrinopeptide A (FPA) levels during heparin therapy reflect disease activity and resolution in patients with venous thromboembolism?

Population

51 patients with thromboembolism (including 15 with concurrent sepsis or malignancy)

Comparison

Heparin therapy with monitoring of… vs Patients with minimal resolution vs marked…

Design

Cohort

Follow-up

during heparin treatment

Authors

IYI. YudelmanLenox Hill HospitalJGJacob GreenbergTulane University

Discussion

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Implication

FPA levels may reflect resolution during heparin in isolated thromboembolism; leaves open prospective validation before guiding monitoring.

Structured PICO

Does monitoring fibrinopeptide A (FPA) levels during heparin therapy reflect disease activity and resolution in patients with venous thromboembolism?

P
Population
51 patients with thromboembolism (including 15 with concurrent sepsis or malignancy)
I
Intervention
Heparin therapy with monitoring of fibrinopeptide A (FPA) levels
C
Comparator
Patients with minimal resolution vs marked resolution, and patients with thromboembolism alone vs concurrent sepsis/malignancy
O
Outcome
Fibrinopeptide A (FPA) levels as an index of disease activity and resolution of embolisurrogate

FPA levels may serve as a useful biomarker for monitoring disease activity and resolution in venous thromboembolism during heparin therapy, provided there is no coexisting sepsis or malignancy.

Cite This Study

Yudelman et al. (1982) studied this question.

synapsesocial.com/papers/6a207cb3e1fa5be4a5f41c5dhttps://doi.org/10.1182/blood.v59.4.787.787

Topics

Pulmonary embolismHFrEF treatmentHeart failureAnticoagulation in AF
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