Fibrinopeptide A
peptideFibrinopeptide A is released during thrombin-catalyzed fibrin polymerization, marking coagulation activation in coronary thrombosis.
Pathway placement
Cascade stepCoagulation & thrombus formation
Confidencehigh
RationaleDirect product of thrombin cleavage; specific marker of thrombin generation and fibrin formation.
Druggability
Not assessed (no mapped human gene target).
Type I vs Type II discrimination
ScoresLow-confidence (proxy)
R — rupture / Type-I89
C — confounder / Type-II62
A — assay feasibility66
E — evidence strength33
T1DI (composite)14
Specificity differential (R−C)+27
Confounder panel (Type-II drivers)
No confounder evidence retrieved.
Tier: light (literature co-occurrence proxy — lower confidence). 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
Plasma (EDTA; peptidase-labile — chilled + protease inhibitor)
Collection tube
K2-EDTA, chilled plastic (lavender-top) · Serum separator (gold/red-top, SST)
Method / principle
Competitive/sandwich immunoassay or LC-MS/MS
Reagent / substrate
Anti-peptide antibody; or isotope-labeled internal standard (MS)
Platform
Immunoassay / LC-MS/MS
Turnaround · availability
Send-out / research · Research-grade
Literature evidence(37)
- Heparin immobilization reduces thrombogenicity of small-caliber expanded polytetrafluoroethylene grafts.Journal of vascular surgery · 2006 · PMID 16520178 · doi
- Activated coagulation during open and endovascular abdominal aortic aneurysm repair.Journal of vascular surgery · 2006 · PMID 16765226 · doi
- Assessment of markers of thrombin generation in patients with acute myocardial infarction complicated by ventricular fibrillation.Clinical cardiology · 2006 · PMID 16649726 · doi
- Plasma markers of activated hemostasis in the early diagnosis of acute coronary syndromes.Clinica chimica acta; international journal of clinical chemistry · 2006 · PMID 16696962 · doi
- Prognostic role of hemostatic markers in acute coronary syndromes patients.Clinica chimica acta; international journal of clinical chemistry · 2001 · PMID 11557250 · doi
- Early risk stratification of unstable angina/non-Q myocardial infarction: biochemical markers of coronary thrombosis.International journal of cardiology · 1999 · PMID 10328612 · doi
- Prognostic significance of elevated hemostatic markers in patients with acute myocardial infarction.Journal of the American College of Cardiology · 1999 · PMID 10334421 · doi
- [Pathophysiology of acute coronary syndromes].Journal of cardiology · 1999 · PMID 10342131
- Thrombin generation, inhibition and clinical outcomes in patients with acute myocardial infarction treated with thrombolytic therapy and heparin: results from the GUSTO-I Trial. GUSTO-I Hemostasis Substudy Group. Global Utilization of Streptokinase and TPA for Occluded Coronary Arteries.Journal of the American College of Cardiology · 1998 · PMID 9502626 · doi
- Activation of coagulation and fibrinolysis after rehabilitative exercise in patients with coronary artery disease.The American journal of cardiology · 1998 · PMID 9527072 · doi
- Study on the hypercoagulable state in patients with angina and myocardial infarction.Journal of Tongji Medical University = Tong ji yi ke da xue xue bao · 1998 · PMID 10806795 · doi
- Useful laboratory tests for studying thrombogenesis in acute cardiac syndromes.Clinical chemistry · 1998 · PMID 9702994
- Procoagulant and proinflammatory activity in acute coronary syndromes.Cardiovascular research · 1998 · PMID 9893733 · doi
- The relationship of soluble fibrin and cross-linked fibrin degradation products to the clinical course of myocardial infarction.Arteriosclerosis, thrombosis, and vascular biology · 1997 · PMID 9108774 · doi
- Persistent thrombin generation during heparin therapy in patients with acute coronary syndromes.Arteriosclerosis, thrombosis, and vascular biology · 1997 · PMID 9261263 · doi
- Alterations of platelet, coagulation, and fibrinolysis markers in patients with acute ischemic stroke.Seminars in thrombosis and hemostasis · 1997 · PMID 9469626 · doi
- Association of heparin-resistant thrombin activity with acute ischemic complications of coronary interventions.Circulation · 1996 · PMID 8901652 · doi
- Rebound after cessation of oral anticoagulant therapy: the biochemical evidence.British journal of haematology · 1996 · PMID 8603020 · doi
- Relationship between intracoronary thrombolysis and fibrino-coagulation--special reference to TAT/PIC and FPA/PIC.Japanese circulation journal · 1996 · PMID 8741240 · doi
- Thrombin generation and activity during thrombolysis and concomitant heparin therapy in patients with acute myocardial infarction.Journal of the American College of Cardiology · 1995 · PMID 7798503 · doi
- Rebound increase in thrombin generation and activity after cessation of intravenous heparin in patients with acute coronary syndromes.Circulation · 1995 · PMID 7895349 · doi
- Thrombotic markers during myocardial infarction.Panminerva medica · 1995 · PMID 8869368
- New recombinant glycosylated prourokinase for treatment of patients with acute myocardial infarction. Prourokinase Study Group.Journal of the American College of Cardiology · 1994 · PMID 7930246 · doi
- Thrombin generation in human coronary arteries after percutaneous transluminal balloon angioplasty.Journal of the American College of Cardiology · 1994 · PMID 7930280 · doi
- Persistent activation of coagulation mechanism in unstable angina and myocardial infarction.Circulation · 1994 · PMID 8026047 · doi
- [Blood coagulation and fibrinolysis in ischemic heart disease].Rinsho byori. The Japanese journal of clinical pathology · 1994 · PMID 8107282
- Persistent generation of thrombin after acute myocardial infarction.Arteriosclerosis and thrombosis : a journal of vascular biology · 1992 · PMID 1576116 · doi
- Assessment of hypercoagulable states by measurement of activation fragments and peptides.Blood reviews · 1990 · PMID 2182146 · doi
- [Biological manifestations of a prethrombotic state in developmental Crohn's disease].Gastroenterologie clinique et biologique · 1990 · PMID 2188861
- Indices of hypercoagulation in cancer as compared with those in acute inflammation and acute infarction.Haemostasis · 1990 · PMID 2289706 · doi
- Fibrin formation and platelet activation in patients with myocardial infarction and normal coronary arteries.European heart journal · 1989 · PMID 2524385 · doi
- Fibrin metabolism in patients with acute myocardial infarction during and after treatment with tissue-type plasminogen activator.Thrombosis and haemostasis · 1988 · PMID 2976994
- Thrombolytic therapy with tissue plasminogen activator or streptokinase induces transient thrombin activity.Blood · 1988 · PMID 3135862
- Relationship between fibrinopeptide A and fibrinogen/fibrin fragment E in thromboembolism, DIC and various non-thromboembolic diseases.Thrombosis and haemostasis · 1987 · PMID 3672428
- Fibrin formation and platelet aggregation in patients with severe coronary artery disease: relationship with the degree of myocardial ischemia.Circulation · 1985 · PMID 2408785 · doi
- Fibrinopeptide A and beta thromboglobulin in patients with angina pectoris and acute myocardial infarction.American heart journal · 1984 · PMID 6197872 · doi
- Fibrinopeptide A, platelet factor 4, and beta-thromboglobulin levels in coronary heart disease.Blood · 1982 · PMID 6179552