Benedicto Aguirre E, Yuste J R, Páramo J A, Rocha E, Prieto J
Departamento de Medicina Interna, Clínica Universitaria de Navarra, Pamplona.
An Med Interna. 1997 Sep;14(9):450-4.
To determine the prevalence of hypercoagulability states in patients with thromboembolic disease in Septentrional Navarra.
74 patients were studied (13 female, mean age [+/- SD] 43.5 +/- 13.9 years, range 22-81) with: deep venous thrombosis (DVT) with or without pulmonary embolism (PE) in 15 patients; ischemic stroke (IS) in 20 patients and; myocardial infarction (MI) in 39 patients. Antithrombin III, C protein (CP), plasminogen, plasminogen activator inhibitor (PAI), total S protein (TSP), free S protein (FSP), lupus anticoagulant (LA) and anticardiolipin antibodies (ACA) type IgG were determined in all patients.
The prevalence of hypercoagulability state was 27% in patients with thromboembolic disease; 26.6% in patients with PE (20% with ACA and 6.6% with CP deficiency); 30% in patients with IS (15% with ACA, CP deficiency in 5%, FSP deficiency in 5%, and PAI raising in 10%) and in the 25.6% of patients with MI (15.3% with ACA, 2.5% with CP deficiency, 2.5% with TSP and FSP deficiency and PAI raising in the 7.6%).
In Septentrional Navarra population with thromboembolic disease the presence of hypercoagulable states is high. In our study, the most common hypercoagulable state was the presence of ACA, followed by PAI raising and by the CP deficiency.
确定北纳瓦拉血栓栓塞性疾病患者中高凝状态的患病率。
对74例患者进行了研究(13例女性,平均年龄[±标准差]43.5±13.9岁,范围22 - 81岁),其中:15例患者患有伴或不伴肺栓塞(PE)的深静脉血栓形成(DVT);20例患者患有缺血性卒中(IS);39例患者患有心肌梗死(MI)。测定了所有患者的抗凝血酶III、C蛋白(CP)、纤溶酶原、纤溶酶原激活物抑制剂(PAI)、总S蛋白(TSP)、游离S蛋白(FSP)、狼疮抗凝物(LA)和IgG型抗心磷脂抗体(ACA)。
血栓栓塞性疾病患者中高凝状态的患病率为27%;PE患者中为26.6%(20%为ACA阳性,6.6%为CP缺乏);IS患者中为30%(15%为ACA阳性,5%为CP缺乏,5%为FSP缺乏,10%为PAI升高);MI患者中为25.6%(15.3%为ACA阳性,2.5%为CP缺乏,2.5%为TSP和FSP缺乏,7.6%为PAI升高)。
在北纳瓦拉患有血栓栓塞性疾病的人群中,高凝状态的发生率很高。在我们的研究中,最常见的高凝状态是ACA阳性,其次是PAI升高和CP缺乏。