CHANGES IN FIBRINOLYTIC PARAMETERS AFTER DELIVERY

1987 ◽  
Author(s):  
J C Kirch-heimer ◽  
H Kölbl ◽  
G Christ ◽  
G Tatra

Recent studies by Astedt et al. have shown increasing levels of plasminogen activator inhibitor during pregnancy, but the origin of the inhibitor is unknown. Levels of fibrinolytic parameters were determined in plasma collected from 18 females (age 22.7 ± 3.2, mean ± SD) after a normal medically controlled pregnancy at the time of delivery and on the following 5 days. Tissue-type plasminogen activator (tPA) antigen was measured by enzyme immunoassay, urokinase type plasminogen activator (uPA) antigen by a radioimmunoassay and plasminogen activator inhibitor (PAI ) by a functional assay. The results are summarized in the following table:Postpartal changes in tPA antigen and PAI have been found to be significant, both decreasing after delivery and reaching normal control values for tPA on day 2 and for PAI on day 1 while uPA antigen remained normal. Since tPA levels before delivery have been found to be normal, increased levels at delivery might be caused by a release or by hormonal changes, while the decrease in PAI might again be caused by hormonal changes or by removal of the placenta.

1990 ◽  
Vol 63 (03) ◽  
pp. 345-348 ◽  
Author(s):  
J Veenastra ◽  
C Kluft ◽  
Th Ockhuizen ◽  
H v d Pol ◽  
M Wedel ◽  
...  

SummaryShort-term effects of moderate alcohol consumption on platelet function, tissue-type plasminogen activator (t-PA) and plasminogen activator inhibitor (PAI) were studied in two age groups of volunteers (20–30 and 45–55 years), each consisting of eight healthy males. The alcohol (30 g in red port and wine) was consumed during a standard dinner. Two blood samples were drawn: one in the postprandial phase, and one the next morning after fasting overnight. Alcohol consumption tended to increase platelet aggregation and production of hydroxy fatty acids, reduced plasma t-PA activity and increased PAI activity in the postprandial phase. After the overnight fast the effects on t-PA and PAI had disappeared whereas at that time alcohol consumption tended to decrease platelet function. The effects of alcohol on t-PA and PAI activity appeared mainly in the older age group, whereas the t-PA activity in this group was already much lower, irrespective of alcohol consumption.


Sign in / Sign up

Export Citation Format

Share Document