1: Hemostasis And Coagulation Flashcards
Key cellular components of hemostasis
- Cells of the vascular intimate
- Extravascular tissue factor (TF-bearing cells)
- Platelets
Refers to the role of blood vessels and platelets in the initial response to a vascular injury or to the commonplace desquamation of dying or damaged endothelia’s cells
Primary hemostasis
Key players of primary hemostasis
Platelet and blood vessel
End product of primary hemostasis
Platelet plug
Describes the activation of a series of coagulation proteins in the plasma, mostly serine proteases, to form a fibrin clot
Secondary hemostasis
Key players of secondary hemostasis
- Coagulation system
- Enzymes and cofactors
- Platelets
End product of secondary hemostasis
Stabilized fibrin clot
The final events of homeostasis
Fibrinolysis
The gradual digestion and removal of fibrin clot as healing occurs
Fibrinolysis
Key players of fibrinolysis
Fibrinolytic system
End product of fibrinolysis
Dissolution of fibrin clot
Timing of hemostasis
Primary
- vasoconstriction
- platelet adhesion
- platelet aggregation
Secondary
- activation of clotting factors
- fibrin formation
Fibrinolysis
- activation of fibrinolytic factors
- clot lysis
Occupy the connective tissue layer and produces collagen
Fibroblasts
Tunica adventitia is composed of
Connective tissue cell-support
Thickest coat of blood vessel
Tunica media
Tunica media is consists of
Elastic tissue and smooth muscles
Allows the blood vessel to contract and regulate blood flow
Tunica media
Tunica intima is for
Vasoconstriction and vasodilation
Tunica intima contains
Endothelial cells
Hemostatic components of a vascular system
- Extravascular tissue
- Subendothelial tissue
- Endothelial cell (ULWF)
Vascular intima of the blood vessel:
Innermost vascular lining
Endothelial cells
Vascular intima of the blood vessel:
Supporting the endothelial cells
Internal elastic lamina composed of elastin and collagen
Vascular intima of the blood vessel:
Subendothelial connective tissue
Collagen and fibroblasts in veins
Collagen, fibroblasts, and smooth muscle cells in arteries
Separating procoagulant proteins and platelets in blood from collagen and tissue factor in fibroblast and smooth muscle cells
ECs us a physical barrier
Anticoagulant properties of vascular intima
- Nitric oxide
- Prostacyclin
- Tissue factor pathway inhibitor
- Thrombomodulin
- Endothelial protein C receptor
- Glycosaminoglycan heparan sulfate
- Tissue plasminogen activator
Anticoagulant properties of vascular intima
“Relaxing factor”
Nitric oxide