The Concept of CMR

Intra-abdominal Adipose Tissue: the Culprit?

Pro-thrombotic State

Key Points

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  • Obese, insulin-resistant subjects and type 2 diabetic patients often have a pro-thrombotic state.
  • Atherothrombotic complications of the metabolic syndrome are partly due to a dysregulation of hemostasis. This induces a pro-thrombotic state that includes endothelial activation, platelet hyperactivity, hypercoagulability, and hypofibrinolysis.
  • Hypofibrinolysis because of elevated PAI-1 levels is a core feature of the metabolic syndrome.
  • Weight loss improves all pro-thrombotic factors, indicating that obesity is a modifiable risk factor for thrombosis.