Global coagulation assays in hypercoagulable states

Hui Yin Lim, Geoffrey Donnan, Harshal Nandurkar, Prahlad Ho

Research output: Contribution to journalReview ArticleResearchpeer-review

Abstract

Thrombosis is one of the major global causes of morbidity and mortality, and predicting the risk of thrombotic and cardiovascular complications remains one of the key challenges in modern medicine. Conventional coagulation testing does not provide sufficient information, primarily because they measure the time to start of blood clotting and do not evaluate total thrombin generation. Possible adjunctive tools that may be helpful are global coagulation assays, which includes the assessment of the final products of the coagulation cascade, namely thrombin and fibrin. Whilst these assays have been more widely investigated in bleeding states, their role in thrombotic disorders is less established. We have previously investigated the use of assays such as thromboelastography, calibrated automated thrombogram and overall haemostatic potential assay in several hypercoagulable states including cardiovascular disease, haematological disorders and influence of hormone status as well as healthy controls. We provide a review of the use and limitations of global coagulation assays in healthy controls as well as hypercoagulable conditions.

Original languageEnglish
Number of pages13
JournalJournal of Thrombosis and Thrombolysis
DOIs
Publication statusAccepted/In press - 8 Jan 2022

Keywords

  • Fibrin
  • Global coagulation assays
  • Thrombin
  • Thromboelastography

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