Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
1993-10-12
pubmed:abstractText
Hypercoagulability with resultant thrombosis as a leading cause of death remains unproven due to the lack of a global screening coagulation test documenting antecedent hypercoagulability. To fill this need a modified recalcification time (MRT) test that incorporates the contribution of all the circulating cellular and chemical mediators, including the important but neglected tissue factor, to coagulation is described. Aliquots of blood are incubated with saline and with endotoxin, and the MRT is instrumentally determined. Values outside the normal ranges of 5.3 to 8.5 minutes (saline) and 4.5 to 7.5 minutes (endotoxin) in the coagulation spectrum of 0 to 10 minutes to infinity are abnormal. Shorter values are inversely related to the degree of hypercoagulability. To assess MRT in detecting hypercoagulability, MRT values in conditions with known thrombotic risk that were reported individually are presented by indicating the percentages of each in the abnormal ranges. The conditions, all with statistically significant hypercoagulability, included early breast cancer, diabetes, head, neck, and colon cancer, peripheral vascular disease, and pregnancy. Modified recalcification time meets the criteria of a global coagulation screening test because of: 1) age-related prevalence of asymptomatic cancer and thrombotic cardiovascular disease, 2) specificity and sensitivity, and 3) expected lower morbidity and mortality with early intervention.
pubmed:commentsCorrections
http://linkedlifedata.com/resource/pubmed/commentcorrection/8371283-2724359, http://linkedlifedata.com/resource/pubmed/commentcorrection/8371283-2802258, http://linkedlifedata.com/resource/pubmed/commentcorrection/8371283-3249326, http://linkedlifedata.com/resource/pubmed/commentcorrection/8371283-3548512, http://linkedlifedata.com/resource/pubmed/commentcorrection/8371283-3626537, http://linkedlifedata.com/resource/pubmed/commentcorrection/8371283-6398242, http://linkedlifedata.com/resource/pubmed/commentcorrection/8371283-6398244, http://linkedlifedata.com/resource/pubmed/commentcorrection/8371283-705686, http://linkedlifedata.com/resource/pubmed/commentcorrection/8371283-7123225, http://linkedlifedata.com/resource/pubmed/commentcorrection/8371283-72416, http://linkedlifedata.com/resource/pubmed/commentcorrection/8371283-7310230, http://linkedlifedata.com/resource/pubmed/commentcorrection/8371283-8478968
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0027-9684
pubmed:author
pubmed:issnType
Print
pubmed:volume
85
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
611-6
pubmed:dateRevised
2009-11-18
pubmed:meshHeading
pubmed:year
1993
pubmed:articleTitle
Modified recalcification time: a global coagulation screening test.
pubmed:affiliation
Department of Surgery, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark 07103-2757.
pubmed:publicationType
Journal Article