The document discusses coagulation, the process by which blood clots. More than 30 cells and substances affect clotting, which is initiated by platelets and involves a complex series of reactions converting fibrinogen into fibrin to form a clot. Thrombosis occurs when a blood clot forms inside a blood vessel or heart, partially or completely blocking blood flow. Causes of clotting include the blood composition, vessel wall injuries, and blood flow issues. Clots are classified as venous, such as deep vein thrombosis, or arterial, like those causing strokes and myocardial infarctions when coronary arteries suddenly clog.
Def.:
Thrombosis is the
formationof a blood
clot inside a blood
vessel or the heart,
which can partially or
completely obstruct
the flow of blood. The
blood clot itself is
referred to as a
THROMBUS.
3.
Coagulation:
In medicine,the clotting of blood. The process
by which the blood clots to form solid masses, or
clots.
# More than 30 types of cells and substances in
blood affect clotting. The process is initiated by
blood Platelets. Platelets produce a substance
that combines with calcium ions in the blood to
form thromboplastin, which in turn converts the
Protein Prethrompin into Thrombin in a
complex series of reactions. Thrombin, a
proteolytic enzyme, converts Fibrinogen, a
protein substance, into fibrin, an insoluble
protein that forms an intricate network of
minute threadlike structures called fibrils and
causes the blood plasma to gel. The blood cells
and plasma are enmeshed in the network of
fibrils to form the clot.
4.
Causes:
 The compositionof the blood (hypercoagulability or
thrombophilia)
 Quality of the vessel wall (endothelial cell injury)
 Nature of the blood flow (stasis, turbulence)
A myocardial infarctionoccurs when an
atherosclerotic plaque slowly builds up in
the inner lining of a coronary artery and then
suddenly ruptures, causing catastrophic
thrombus formation, totally occluding the artery
and preventing blood flow downstream.
13.
Drawing of theheart showing
anterior left ventricle wall
infarction