Haemostasis Flashcards
Things needed for clot formation
platelets
vW factor
coagulation factors
How the clot is localised to a specific area
natural anticoagulants
How does the clot vanish 1 week later?
fibrinolytic system
How do platelets become activated?
subendothelial collagen exposed and stick to this
tissue factor released from tissues
binding sites on platelets
Gp1a and 2a = collagen
Gp 1b = vW factor
Gp 2b and 3a = fibrinogen
What induces platelet aggregation?
thromboxane from arachidonic acid (COX)
vW factor binding sites
collagen, factor 8 and glycoprotein
primary haemostatic plug
platelets, vW factor
definitive clot
fibrin formation on top
Coagulation factors
12,11,9,8,10, prothrombin, fibrinogen
Haemophilia
A - factor 9 and B factor 8
coagulation cascade problem
How does prothrombin –> fibrinogen occur?
prothrombin –> thrombin
fibrin –> fibrinogen
3 natural anti coagulants
TFPI
AT
protein C+S
Plasminogen activators
t-PA (alteplase)
u-PA
Breakdown products of fibrin clot
D-dimer