High Molecular Weight Fibrinogen Complexes in Patients with History of Myocardial Infarction and Cerebrovascular Disorders
The increased turnover of fibrinogen and decreased platelet survival observed in many patients with history of myocardial infarction (MIP) and in patients with chronic cerebrovascular disorders (CVP) (Neri Serneri et al 1970, Harker and Slichter 1972) could suggest a hypercoagulable state. We investigated 28 MIP, 23 CVP and 31 controls for circulating high molecular weight fibrinogen complexes (HMWFC) by gel-filtration (agarose 4%, 100–200 m, column 1.5 × 90 cm, buffer Tris-Cl-citrate pH 7.6, flow 13 ml/hour, recording of OD at 280 um) of plasma beta-alanine precipitate. HMWFC are eluted in a peak at an alution volume corresponding to the void volume of the column, at which volume globular proteins of MW over 1 million are eluted. HMWFC concentration was in the controls 2.98±1.52% of the fibrinogen eluted, in MIP 8.27±2.9 % (P<0.0l) and in CVP 7.48±1.9 % (P<0.01). When HMWFC concentration was higher than 6-7%, PAA electrophoresis of the eluted complexes (after mercaptoethanol reduction) allowed to detect gamma-gamma dimers, so indicating the cross-linkage of HMWFC. Heparin treatment (12,500 U × 2) markedly lowered the concentration of HMWFC and made gamma-gamma dimers undetectable. These results indicate that in MIP and in CVP a hypercoagulability frequently exists.