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January 1, 2004Thrombosis and Haemostasis

Coagulation activation in young survivors of myocardial infarction (MI) - a population-based case-control study

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Key result

Prior myocardial infarction in young survivors was associated with significantly increased thrombin-antithrombin complex levels (8.2 vs 3.9 microg/l, p=0.01) compared to controls.

Population

62 patients with verified myocardial infarction, 40-60 years of age, examined 1-4 years after the acute…

Design

Case-control

Authors

TBTrond BørvikUniversity Hospital of North NorwayPSPer Morten SandsetCross-Cutting CardiologyKBKaare Harald BønaaInterventional Cardiology

Discussion

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Implication

May indicate persistent prothrombotic state in young MI survivors; leaves open whether this warrants targeted antithrombotic strategies pending prospective validation.

Study Design

Type

Case-Control

Structured PICO

P
Population
62 patients aged 40-60 years with verified MI examined 1-4 years post-event, compared to control subjects.
C
Comparator
Control subjects
O
Outcome
Coagulation activation markers including Thrombin-antithrombin complex (TAT), FVIIa, and plasma free TFPI antigensurrogate

Main Result

Absolute Event Rate: 8.2% vs 3.9%

p-value: p=0.01

Young survivors of myocardial infarction exhibit an apparent increase in basal activation of the coagulation system 1-4 years post-event, accompanied by decreased FVIIa and increased free TFPI antigen.

Cite This Study

Børvik et al. (2004) conducted a case-control in Myocardial infarction. Prior myocardial infarction vs. Control subjects was evaluated on Thrombin-antithrombin complex (TAT) levels (microg/l) (p=0.01). Prior myocardial infarction in young survivors was associated with significantly increased thrombin-antithrombin complex levels (8.2 vs 3.9 microg/l, p=0.01) compared to controls.

synapsesocial.com/papers/6a9eb0686e3e9028e6be6e13https://doi.org/10.1160/th03-11-0674
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Monocyte tissue factor‐like activity in post myocardial infarction patients1998 · 41 citations
  2. 2Assessment of markers of thrombin generation in patients with acute myocardial infarction complicated by ventricular fibrillation2006 · 19 citations
  3. 3Elevated Tissue Factor and Tissue Factor Pathway Inhibitor Circulating Levels in Ischaemic Heart Disease Patients1998 · 124 citations
  4. 4Tissue factor pathway inhibitor on circulating microparticles in acute myocardial infarction2004 · 94 citations
  5. 5A System-Wide Investigation and Stratification of the Hemostatic Proteome in Premature Myocardial Infarction2022 · 3 citations