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  2. Low-molecular-weight heparin - Wikipedia

    en.wikipedia.org/wiki/Low-molecular-weight_heparin

    However, protamine appears only partially to neutralize the anti-factor Xa activity of LMWH. Because the molecular weight of heparin impacts its interaction with protamine, the lack of complete neutralization of anti-factor Xa is likely due to reduced protamine binding to the LMWH moieties in the preparation. Protamine is a medicine that ...

  3. Reference ranges for blood tests - Wikipedia

    en.wikipedia.org/wiki/Reference_ranges_for_blood...

    Reference ranges (reference intervals) for blood tests are sets of values used by a health professional to interpret a set of medical test results from blood samples. Reference ranges for blood tests are studied within the field of clinical chemistry (also known as "clinical biochemistry", "chemical pathology" or "pure blood chemistry"), the ...

  4. Factor X - Wikipedia

    en.wikipedia.org/wiki/Factor_X

    The first crystal structure of human factor Xa was deposited in May 1993. To date, 191 crystal structures of factor Xa with various inhibitors have been deposited in the protein data bank. The active site of factor Xa is divided into four subpockets as S1, S2, S3 and S4. The S1 subpocket determines the major component of selectivity and binding.

  5. Heparin - Wikipedia

    en.wikipedia.org/wiki/Heparin

    Fondaparinux targets anti-factor Xa activity rather than inhibiting thrombin activity, to facilitate a more subtle regulation of coagulation and an improved therapeutic index. It is a synthetic pentasaccharide, whose chemical structure is almost identical to the AT binding pentasaccharide sequence that can be found within polymeric heparin and ...

  6. Thromboelastometry - Wikipedia

    en.wikipedia.org/wiki/Thromboelastometry

    INTEM This test mildly activates the contact phase of haemostasis. The result is influenced by coagulation factors, platelets, fibrinogen and heparin. Low molecular weight heparin is detected at higher concentrations. [15] [16] In the absence of heparin, INTEM is a screening test for the haemostasis system. It is used for therapeutic decisions ...

  7. Heparin-induced thrombocytopenia - Wikipedia

    en.wikipedia.org/wiki/Heparin-induced...

    Fondaparinux, a factor Xa inhibitor, is commonly used off label for HIT treatment in the United States. [citation needed] According to a systematic review, people with HIT treated with lepirudin showed a relative risk reduction of clinical outcome (death, amputation, etc.) to be 0.52 and 0.42 when compared to patient controls.

  8. Antithrombin - Wikipedia

    en.wikipedia.org/wiki/Antithrombin

    Antithrombin inactivates its physiological target enzymes, Thrombin, Factor Xa and Factor IXa with rate constants of 7–11 x 10 3, 2.5 x 10 3 M −1 s −1 and 1 x 10 M −1 s −1 respectively. [ 5 ] [ 24 ] The rate of antithrombin-thrombin inactivation increases to 1.5 - 4 x 10 7 M −1 s −1 in the presence of heparin, i.e. the reaction is ...

  9. Hypercoagulability in pregnancy - Wikipedia

    en.wikipedia.org/wiki/Hypercoagulability_in...

    A dose of 1 mg protamine / 100 IU LMWH reverses 90% of its anti-IIa and 60% of anti-Xa activity, but the clinical effect of the residual anti-Xa activity is not known. [13] Both anti-IIa and anti-Xa activity may return up to three hours after protamine reversal, possibly due to release of additional LMWH from depot tissues. [13]

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