The syndrome of vanishing ACS : Who activates spontaneous thrombolysis doctor ?

Background “Your husband was really lucky, his heart attack got spontaneously aborted. His ECG is near normal now. The angiogram is normal.No stent, no lysis. He secreted his own Tpa and got rid of the clot. We will discharge him to tomorrow.” Thank you very much, Doctor. How did this happen, doctor? Don’t thank me. Definitely, I don’t have an answer. Spontaneous successful thrombolysis (Ref 4) happens up to 15 % of ACS. All I can say is he has a very disciplined mast cell network and fibrinolytic system. Vascular events: Pathobiology Vascular highway accidents that happen with sudden freezing of blood in the heart or brain or other vital organs consume more human lives than any other disease. This can happen with or without a trigger from the vessel wall, the phenomenon which Virchow’s taught us a century ago. But, Who is keeping the 5 liters of blood in the body in a fluid status life long? Blood coagulation and lysis is a fascinating balance of two pairs opposing hematological forces. Coagulant system (The 13-factor Intrinsic /extrinsic clotting cascade ) Anticoagulation system  (Antithrombin, protein  C and S, and tissue factor pathway inhibitor (TFPI) ) The fibrinolytic system (Commander in chief is Plasmin, It has the ability to feed and digest clots just like that It comes from plasminogen the activation of this the core concept of thrombolytic or fibrinolytic agents) Anti-fibrinolytic system  Haemostasis 1986...
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: Uncategorized anti fibrinolytic system thrombolysis Source Type: blogs