antiphospholipid antibodies
proteinAntiphospholipid antibodies induce a hypercoagulable state and thrombosis, causing MI in young patients.
Pathway placement
Cascade stepCoagulation & thrombus formation
Confidencehigh
RationaleAutoantibodies driving hypercoagulable state; thrombosis in young STEMI patients.
Also acts inPlatelet activation
Druggability
Not assessed (no mapped human gene target).
Type I vs Type II discrimination
ScoresType-II-associated
R — rupture / Type-I—
C — confounder / Type-II50
A — assay feasibility68
E — evidence strength48
T1DI (composite)11
Specificity differential (R−C)-35
Confounder panel (Type-II drivers)
1sepsis / systemic inflammationn/a
2anemia / acute blood lossn/a
3hypovolemia / dehydrationn/a
4tachyarrhythmiamag 1
5hypoxemia / respiratory failuren/a
6hypertensive emergencymag 2
7high-demand / peri-operative stressn/a
Coverage: 2/7 confounders with evidence
Tier: deep-scored (abstract-extracted) · 2 supporting references. See the discrimination table for all markers.
Assay & specimen
Class-level default (no specific cleared assay)— generic method inferred from analyte class; confirm against a specific product insert before use.
Specimen
Serum or plasma
Collection tube
Serum separator (gold/red-top, SST) · K2/K3-EDTA (lavender-top)
Method / principle
Sandwich immunoassay (ELISA) — research-grade unless a cleared assay exists
Reagent / substrate
Matched anti-target antibody pair (capture + labeled detection)
Platform
ELISA microplate or multiplex (Luminex/MSD)
Turnaround · availability
Send-out / research · Research-grade (no universal clinical assay)
Literature evidence(2)
- Incidence, characteristics and outcomes in very young patients with ST segment elevation myocardial infarction.Coronary artery disease · 2020 · PMID 31524668 · doi
- Unexpected Coronary Thrombosis Induced By Antiphospholipid Syndrome (Hughes Syndrome): Case Report.Revista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi · 2016 · PMID 30141609