医学
心房颤动
心脏病学
内科学
收缩性
冲程(发动机)
血栓形成
血小板
内皮
凝结
血流
机械工程
工程类
作者
Bethan Freestone,Gregory Y.H. Lip
出处
期刊:Hamostaseologie
[Thieme (Hamostaseologie)]
日期:2008-01-01
卷期号:28 (04): 207-212
被引量:38
标识
DOI:10.1055/s-0037-1617102
摘要
Atrial fibrillation (AF) is the commonest sustained cardiac arrhythmia, which confers a high risk of mortality and morbidity from stroke and thromboembolism. The precise mechanisms by which AF causes thromboembolism and subsequent cerebrovascular events have attracted much research interest, and are yet to be fully elucidated. Nonetheless, it is well recognised that AF fulfils Virchow's triad for thrombogenesis, with abnormal flow conditions with loss of atrial contractility and an irregularly irregular cardiac output, (i. e. flow abnormalities), as well as structural heart disease with endocardial damage (i. e. abnormal vessel wall) and abnormalities in platelet and haemostatic variables (i. e. abnormal blood constituents). This review is to summarise the evidence so far for the role of coagulation and fibrinolytic components, platelets and inflammation (that is blood constituents) in the generation of the prothrombotic state in AF, with particular focus on the endothelium and AF.
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