The Latest Progress in Thrombosis and Antithrombotics

A special issue of Life (ISSN 2075-1729). This special issue belongs to the section "Pharmaceutical Science".

Deadline for manuscript submissions: closed (20 December 2022) | Viewed by 2433

Special Issue Editors


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Guest Editor
Cardiology Division, Leiria Hospital Center, R. das Olhalvas–Pousos, 2410-197 Leiria, Portugal
Interests: acute coronary syndromes; acute heart failure; antithrombotics; atrial fibrillation; atherothrombosis; chronic ischemic heart disease; lipids and atherosclerosis
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Guest Editor
School of Medicine, Catholic University, Rome, Italy
Interests: antithrombotics; thrombosis; thrombus formation; pharmacology of antithrombotics; diabetes mellitus; atherosclerosis

Special Issue Information

Dear Colleagues,

Thrombosis is the dominant mechanism in several diseases in cardiovascular medicine. Acute coronary syndromes, deep vein thrombosis and pulmonary embolism, and ischemic stroke all have a thrombotic phenomenon as the main mechanism responsible for vessel occlusion, ischemia and cellular necrosis, all leading to death in most patients.

Antithrombotic therapy, namely antiplatelets and anticoagulants, is the cornerstone of medical treatment in those situations. With or without revascularization, all forms of vascular disease, acute or chronic, require antithrombotics, frequently in combination. The last two decades have been marked by great progress with new drugs and new concepts. Dual antiplatelet therapy and, more recently, the dual pathway of thrombus inhibition are two examples of this success. New P2Y12 inhibitors, new direct acting anticoagulants, very low dose of rivaroxaban, and the very new factor XI inhibitors are all representing big steps toward better healthcare with a great impact on quality of life and life prolongation.

In the current Special Issue of Life, authors were invited to review the mechanisms of thrombus formation as well as the pharmacological background of commonly used antithrombotic drugs, as well as the different concepts in this field. Inflammation as an important mechanism of atherosclerosis has not been forgotten. In the last few years, clinical trials have been moving toward new directions. New methodologies and new paradigms are redirecting clinical trials for a more efficacious performance, and clinicians should be aware of this shift.

Dr. João Morais
Dr. Bianca Rocca
Guest Editors

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Keywords

  • thrombosis
  • antithrombotics
  • antplatelets
  • anticoagulants
  • inflammation and thrombosis
  • pathophysiology of thrombosis
  • pharmacology of antithrombotics

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Published Papers (1 paper)

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Research

7 pages, 250 KiB  
Article
Predicting Factors for Seizures after Cerebral Venous Thrombosis: A Retrospective Single Center Cohort Study
by Francesca Colò, Valerio Brunetti, Mariangela Di Muro, Elena Rossi, Francesca Bartolomei, Andrea Maria Alexandre, Simone Bellavia, Irene Scala, Artur Słomka, Fabio Pilato, Giovanni Frisullo, Aldobrando Broccolini and Giacomo Della Marca
Life 2023, 13(1), 111; https://doi.org/10.3390/life13010111 - 30 Dec 2022
Cited by 2 | Viewed by 2105
Abstract
Background: Seizures are a common complication of cerebral venous thrombosis. In this study, we intended to define clinical and neuroradiological factors associated with early and late seizures and predictors for seizure recurrence. Methods: The database of our high-volume tertiary stroke center was screened [...] Read more.
Background: Seizures are a common complication of cerebral venous thrombosis. In this study, we intended to define clinical and neuroradiological factors associated with early and late seizures and predictors for seizure recurrence. Methods: The database of our high-volume tertiary stroke center was screened for patients diagnosed with cerebral venous thrombosis between April 2006 and July 2021. Demographics, clinical, imaging, and instrumental data were collected. Results: Out of a total of 80 patients, 30 had seizures, either within the first week after onset (22 patients) or after (8 patients). Speech impairment and intracerebral bleeding were statistically associated with seizures in univariate analysis, but in a logistic regression model, only brain damage with hemorrhagic infarct and/or presence of brain hematoma [OR 6.051; 95% CI 1.881–19.468] (p = 0.003) were predicting factors for seizures. Late seizures were significantly more frequent in younger age [OR 0.864; 95% CI 0.763–0.978] (p = 0.020). Early seizures resulted as protective factors for recurrence; an altered state of consciousness at baseline and late seizures resulted as predictive factors for relapses (0.0% vs. 81.0%, p = 0.005, and 100.0% vs. 19.0%, p < 0.005, respectively). Conclusions: Our study confirms brain bleeding as the strongest risk factor for seizures after cerebral venous thrombosis. Recurrence is unusual after early seizures, while the presence of late seizures seems to raise the risk of recurrence. Full article
(This article belongs to the Special Issue The Latest Progress in Thrombosis and Antithrombotics)
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