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Gewählte Publikation:

Marsik, C; Graninger, M; Mackman, N; Osterud, B; Luther, T; Jilma, B.
Effects of enalapril on disseminated intravascular thrombin formation during systemic inflammation.
Cardiovasc Res. 2003; 60(1):131-135 Doi: 10.1016/S0008-6363(03)00363-8 [OPEN ACCESS]
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Co-Autor*innen der Med Uni Graz
Graninger Monika
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Abstract:
Tissue factor (TF), the main trigger of coagulation is important in the propagation of cardiovascular diseases. Based on an in vitro study, we hypothesised that enalapril may blunt the endotoxin-induced, TF-triggered coagulation in humans. In a randomised, controlled trial, 30 healthy male volunteers received 2 ng/kg of lipopolysaccharide (LPS) after pre-treatment with placebo or enalapril for 5 days or with enalapril 2 h before LPS infusion. Infusion of LPS increased interleukin-6 levels 400 fold, and induced a 10-fold increase in prothrombin fragment, a fourfold increase in D-dimer, and a fivefold increase in plasmin-antiplasmin complexes. However, pre-treatment with enalapril did not blunt LPS-induced coagulation. Our trial provides evidence against a modulatory role of angiotensin converting enzyme in LPS-induced, TF-triggered coagulation.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Analysis of Variance -
Angiotensin-Converting Enzyme Inhibitors - therapeutic use
Disseminated Intravascular Coagulation - immunology
Disseminated Intravascular Coagulation - microbiology
Disseminated Intravascular Coagulation - prevention & control
Enalapril - therapeutic use
Fibrin Fibrinogen Degradation Products - analysis
Fibrinolysin - analysis
Humans -
Infusions, Intravenous -
Interleukin-6 - blood
Leukocytes, Mononuclear - chemistry
Lipopolysaccharides - administration & dosage
Male -
Prothrombin - analysis
Statistics, Nonparametric -
Thromboplastin - analysis

Find related publications in this database (Keywords)
angiotensin converting enzyme
endotoxins
enalapril
prothrombin fragment
D-dimer
randomised controlled trial
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