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European Heart Journal 1995 16(Supplement K):31-36; doi:10.1093/eurheartj/16.suppl_K.31
Copyright © 1995 by the European Society of Cardiology.
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© 1995 The European Society of Cardiology

Role of the fibrinolytic system in preventing myocardial infarction

D. E. Vaughan*,, J.-L. Rouleau{dagger} and M. A. Pfeffer{ddagger}

* Cardiology Division, Vanderbilt University Medical Center and Veterans Affairs Medical Center Nashville, TN
{dagger} Montreal Heart Institute Montreal, Canada
{ddagger} Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School Boston, MA

Correspondence: Douglas E. Vaughan, MD, Vanderbilt University School of Medicine, Division of Cardiology, Rm 315 MRB II, 2220 Pierce Avenue, Nashville, TN 37232-6300, U.S.A.

Activation of the renin-angiotensin system (RAS) has been implicated in the pathogenesis of acute myocardial infarction (AMI). Similarly, red ucedfibrinolytic activity has been associated with an increased risk of AMI. Evidence is now accumulating that the RAS plays an important role in the regulation offibrinolysis and that pharmacological interruption of the RAS exerts a positive effect on endogenousfibrinolytic balance. This relationship appears to provide a partial explanation for the newly recognized effect of angiotensin converting enzyme inhibitors in preventing AMI.

Key Words: Fibrinolysis • renin-angiotensin system • plasminogen activator inhibitor-1 • tissue-type plasminogen activator • angiotensin converting enzyme


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