Fibrinolytic Deficit and Platelet Activation in Atrial Fibrillation and Their Postablation Modulation Journal Article


Authors: Otto, A.; Fareed, J; Liles, J.; Statz, S.; Walborn, A.; Rowe, T.; Jabati, S.; Hoppensteadt, D; Syed, M. A.
Article Title: Fibrinolytic Deficit and Platelet Activation in Atrial Fibrillation and Their Postablation Modulation
Abstract: This study aims to examine the effects of atrial fibrillation (AF) on the expression of the cellular mediators plasminogen activator inhibitor 1 (PAI-1) and CD40 ligand (CD40-L). Additionally, the effect of catheter ablation on the levels of the aforementioned biomarkers was also examined. In this prospective study, plasma samples were collected from patients with AF at baseline prior to ablation and at 1 and 3 months postablation. There was a statistically significant increase in CD40-L at baseline in patients with AF compared to control ( P = .0034). There was a statistically significant decrease in CD40-L levels postablation at both 1 month ( P lt; .0001) and 3 months ( P lt; .0001) compared to baseline. Baseline levels of PAI-1 were elevated compared to the control group (mean 19.55 +/- 2.17 ng/mL vs 4.85 +/- 0.41 ng/mL) and a statistically significant decrease in circulating PAI-1 levels 1 month postablation ( P = .05) was noted compared to preablation levels. These data suggest that inflammation plays an important role in the pathogenesis of AF and that these cellular mediators are modulated by catheter ablation.
Keywords: Atrial Fibrillation; ablation; fibrinolysis; platelet; AFib; fibrinolytic deficit
Journal Title: Clinical Applied Thrombosis/Hemostasis
ISSN: 1938-2723
Publisher: Unknown  
Journal Place: United States
Date Published: 2018
Start Page: 1076029617750270
Language: eng
DOI/URL:
Notes: LR: 20180129; JID: 9508125; OTO: NOTNLM; 2018/01/30 06:00 [entrez]; 2018/01/30 06:00 [pubmed]; 2018/01/30 06:00 [medline]; aheadofprint; SO: Clin Appl Thromb Hemost. 2018 Jan 1:1076029617750270. doi: 10.1177/1076029617750270.