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First published on December 26, 2007 Clinical and Applied Thrombosis/Hemostasis 2007, doi:10.1177/1076029607309228
The Recalcified Coagulation Activity
Thomas W. Stief, MD, Priv-Doz*
University Hospital
* To whom correspondence should be addressed. E-mail: thstief{at}med.uni-marburg.de.
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Abstract |
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Thrombin activity generated after plasma recalcification is of analytical and clinical interest. Fifty microliters of citrated plasma was recalcified with 5 µL of 250 mM CaCl2. After 0 to 90 minutes (37°C) 50 µl 2.5 M arginine, pH 8.6, was added. After 20 minutes, thrombin was chromogenically quantified. In normal recalcified plasma, the generated thrombin activity is about 0.1-0.2 IU/ml (37°C) when fibrin generation starts. Pooling of normal plasmas increases the generated thrombin activity about 3-fold. Plasmas of patients on heparin or coumarin generate about 10-fold less thrombin activity. Freezing of pooled plasma at -20°C and thawing at room temperature or 37°C increases thrombin generation approximately 1.5- or 2-fold, respectively. Only thrombin activities in the ascending part of the thrombin generation curve (RECA-t2/RECAt1>1) are valid. So a prothrombotic state in blood or plasma can be diagnosed.

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