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Table 1 Influence of DOA on different coagulation assays

From: Main considerable factors for correct laboratory test interpretation under DOA treatment

Influence of DOA on coagulation parameters

PT [INR or sec]

↑

↑↑↑

↑↑

aPTT

↑↑↑

↑↑

↑

Thrombin Time

↑↑↑↑↑

-

-

Fibrinogen (Clauss method) derived Fibrinogen

↓(↓)

-

-

 

(↑)

↑

(↑)

Antithrombin FXa-based assay

-

↑

↑

        FIIa-based assay

↑

-

-

Intrinsic coagulation factors VIII, IX, XI, XII (based on aPTT)

↓↓

↓

↓

Extrinisic coagulation factors II,V,VII,X (based on PT)

↓

↓↓

↓↓

Factor XIII -photometric

↓↓

-

-

     -immunologic

-

-

-

Protein S (clotting)

↑↑

↑↑

↑

Free Protein S antigen (immunologic)

-

-

-

(chromogenic)

↑↑

↑

↑

 

-

-

-

Diluted Russel’s Viper Venom - test

↑

↑↑↑

↑↑

Activated Protein C-Ratio (based on aPTT-assay)

↑↑

↑

↑

Ecarin Clotting Time

↑↑

-

-