Coagulation Disorders in Infective Endocarditis: Role of Pathogens, Biomarkers, Antithrombotic Therapy (Systematic Review)

The issue of antithrombotic therapy in patients with infective endocarditis has been studied for over 75 years. During that time studying of pathogenesis of the disease and its embolic complications, lead to the introduction of the concept of “immunothrombosis”. That mechanism allows infective agent...

Full description

Saved in:
Bibliographic Details
Main Authors: A. S. Pisaryuk, V. A. Zamarashkina, N. B. Safarova, N. M. Povalyaev, E. O. Kotova, U. I. Babukhina, E. M. Koltsova, Zh. D. Kobalava
Format: Article
Language:English
Published: Столичная издательская компания 2022-07-01
Series:Рациональная фармакотерапия в кардиологии
Subjects:
Online Access:https://www.rpcardio.online/jour/article/view/2755
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849227509852274688
author A. S. Pisaryuk
V. A. Zamarashkina
N. B. Safarova
N. M. Povalyaev
E. O. Kotova
U. I. Babukhina
E. M. Koltsova
Zh. D. Kobalava
author_facet A. S. Pisaryuk
V. A. Zamarashkina
N. B. Safarova
N. M. Povalyaev
E. O. Kotova
U. I. Babukhina
E. M. Koltsova
Zh. D. Kobalava
author_sort A. S. Pisaryuk
collection DOAJ
description The issue of antithrombotic therapy in patients with infective endocarditis has been studied for over 75 years. During that time studying of pathogenesis of the disease and its embolic complications, lead to the introduction of the concept of “immunothrombosis”. That mechanism allows infective agents (mostly bacteria) to be cloaked from the immune system and to multiply freely, leading to growth of vegetation, thus resulting in higher chance of fragmentation. Small-scale experimental and clinical studies on the correction of hemostatic disorders in infective endocarditis, that were performed in 20th century, didn’t show any significant results, that could affect clinical practice. However, reinterpretation of available data on coagulative system will allow to have elements of hemostasis as an application point in treating infective endocarditis. The article will discuss latest insights on the role of hemostasis system in pathophysisology of infective endocarditis, its effects on the development of the embolic complications, perspectives for diagnostics and treatment.
format Article
id doaj-art-7f533ffdbcd84eb6b628c89c6f0ec14a
institution Kabale University
issn 1819-6446
2225-3653
language English
publishDate 2022-07-01
publisher Столичная издательская компания
record_format Article
series Рациональная фармакотерапия в кардиологии
spelling doaj-art-7f533ffdbcd84eb6b628c89c6f0ec14a2025-08-23T10:00:35ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532022-07-0118332033110.20996/1819-6446-2022-06-142033Coagulation Disorders in Infective Endocarditis: Role of Pathogens, Biomarkers, Antithrombotic Therapy (Systematic Review)A. S. Pisaryuk0V. A. Zamarashkina1N. B. Safarova2N. M. Povalyaev3E. O. Kotova4U. I. Babukhina5E. M. Koltsova6Zh. D. Kobalava7RUDN University; Moscow City Hospital named after V.V. VinogradovRUDN UniversityLomonosov Moscow State UniversityRUDN UniversityRUDN UniversityA.N. Bakulev Research Center for Cardiovascular SurgeryCenter for Theoretical Problems of Physicochemical Pharmacology; Dmitry Rogachev National Research Center of Pediatric Hematology, Oncology and ImmunologyRUDN UniversityThe issue of antithrombotic therapy in patients with infective endocarditis has been studied for over 75 years. During that time studying of pathogenesis of the disease and its embolic complications, lead to the introduction of the concept of “immunothrombosis”. That mechanism allows infective agents (mostly bacteria) to be cloaked from the immune system and to multiply freely, leading to growth of vegetation, thus resulting in higher chance of fragmentation. Small-scale experimental and clinical studies on the correction of hemostatic disorders in infective endocarditis, that were performed in 20th century, didn’t show any significant results, that could affect clinical practice. However, reinterpretation of available data on coagulative system will allow to have elements of hemostasis as an application point in treating infective endocarditis. The article will discuss latest insights on the role of hemostasis system in pathophysisology of infective endocarditis, its effects on the development of the embolic complications, perspectives for diagnostics and treatment.https://www.rpcardio.online/jour/article/view/2755infective endocarditisimmunothrombosishemostasisembolic eventsbiomarkers of coagulation and fibrinolysisprevention of embolismantithrombotic therapy
spellingShingle A. S. Pisaryuk
V. A. Zamarashkina
N. B. Safarova
N. M. Povalyaev
E. O. Kotova
U. I. Babukhina
E. M. Koltsova
Zh. D. Kobalava
Coagulation Disorders in Infective Endocarditis: Role of Pathogens, Biomarkers, Antithrombotic Therapy (Systematic Review)
Рациональная фармакотерапия в кардиологии
infective endocarditis
immunothrombosis
hemostasis
embolic events
biomarkers of coagulation and fibrinolysis
prevention of embolism
antithrombotic therapy
title Coagulation Disorders in Infective Endocarditis: Role of Pathogens, Biomarkers, Antithrombotic Therapy (Systematic Review)
title_full Coagulation Disorders in Infective Endocarditis: Role of Pathogens, Biomarkers, Antithrombotic Therapy (Systematic Review)
title_fullStr Coagulation Disorders in Infective Endocarditis: Role of Pathogens, Biomarkers, Antithrombotic Therapy (Systematic Review)
title_full_unstemmed Coagulation Disorders in Infective Endocarditis: Role of Pathogens, Biomarkers, Antithrombotic Therapy (Systematic Review)
title_short Coagulation Disorders in Infective Endocarditis: Role of Pathogens, Biomarkers, Antithrombotic Therapy (Systematic Review)
title_sort coagulation disorders in infective endocarditis role of pathogens biomarkers antithrombotic therapy systematic review
topic infective endocarditis
immunothrombosis
hemostasis
embolic events
biomarkers of coagulation and fibrinolysis
prevention of embolism
antithrombotic therapy
url https://www.rpcardio.online/jour/article/view/2755
work_keys_str_mv AT aspisaryuk coagulationdisordersininfectiveendocarditisroleofpathogensbiomarkersantithrombotictherapysystematicreview
AT vazamarashkina coagulationdisordersininfectiveendocarditisroleofpathogensbiomarkersantithrombotictherapysystematicreview
AT nbsafarova coagulationdisordersininfectiveendocarditisroleofpathogensbiomarkersantithrombotictherapysystematicreview
AT nmpovalyaev coagulationdisordersininfectiveendocarditisroleofpathogensbiomarkersantithrombotictherapysystematicreview
AT eokotova coagulationdisordersininfectiveendocarditisroleofpathogensbiomarkersantithrombotictherapysystematicreview
AT uibabukhina coagulationdisordersininfectiveendocarditisroleofpathogensbiomarkersantithrombotictherapysystematicreview
AT emkoltsova coagulationdisordersininfectiveendocarditisroleofpathogensbiomarkersantithrombotictherapysystematicreview
AT zhdkobalava coagulationdisordersininfectiveendocarditisroleofpathogensbiomarkersantithrombotictherapysystematicreview