Source:http://linkedlifedata.com/resource/pubmed/id/15170395
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2004-6-1
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pubmed:abstractText |
The in vivo concentration of active thrombin and the second-order rate constant for the inhibition of thrombin by antithrombin (k(inh)) were estimated in patients undergoing cardiopulmonary bypass (CPB) based on measured levels of hemostatic markers in combination with a computer model of the patient's hemostatic and vascular systems. At baseline k(inh) = 0.6 +/- 0.1 microM(-1) s(-1) leaving 270 +/- 101 fM of active thrombin in the circulation. These factors were unchanged after sternotomy. Soon after heparin administration and the start of CPB, k(inh) increased 25-fold resulting in decreased active thrombin. After CPB and heparin neutralization, k(inh) decreased to 8-fold above baseline allowing active thrombin levels to rise. Both factors had returned to normal 2 h after surgery. We conclude that CPB with heparinization results in a rapid increase in thrombin inhibition leading to decreased active thrombin levels in vivo.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
1424-8832
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pubmed:author | |
pubmed:copyrightInfo |
Copyright 2003 S. Karger AG, Basel
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pubmed:issnType |
Print
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pubmed:volume |
33
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
144-56
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pubmed:meshHeading |
pubmed-meshheading:15170395-Aged,
pubmed-meshheading:15170395-Biological Markers,
pubmed-meshheading:15170395-Cardiac Surgical Procedures,
pubmed-meshheading:15170395-Cardiopulmonary Bypass,
pubmed-meshheading:15170395-Hemostasis,
pubmed-meshheading:15170395-Heparin,
pubmed-meshheading:15170395-Humans,
pubmed-meshheading:15170395-Kinetics,
pubmed-meshheading:15170395-Male,
pubmed-meshheading:15170395-Middle Aged,
pubmed-meshheading:15170395-Models, Cardiovascular,
pubmed-meshheading:15170395-Models, Theoretical,
pubmed-meshheading:15170395-Thrombin,
pubmed-meshheading:15170395-Wounds and Injuries
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pubmed:articleTitle |
Effects of surgical trauma and cardiopulmonary bypass on active thrombin concentrations and the rate of thrombin inhibition in vivo.
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pubmed:affiliation |
Department of Laboratory Medicine, University of Washington, Seattle, Wash. 98195-7110, USA.
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pubmed:publicationType |
Journal Article
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