Cardiovascular disease Flashcards
1
Q
Function of Thrombin
A
Multifunctional protease that is activated in the penultimate step of the coagulation cascade. 4 functions:
- Cleaves soluble fibrinogen into insoluble fibrin monomers
- Activation of factor 12, which cross-links the fibrin monomers to form polymers
- Activates other coagulation factors, 11/5/8 - thereby producing a positive feedback loop
- Thrombin also binds to various receptors leading to the activation of platelet/ endothelial cells/ leukocytes (neutrophils + monocytes)
2
Q
Most important stimuli of coagulation cascade in vivo?
A
Initiation of the extrinsic pathway by TISSUE FACTOR derived from damaged tissues
3
Q
Predisposing factors for thrombosis/ Virchow’s triangle
A
- Changes in vessel wall
- Changes in blood flow
- Changes in constituents of blood