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BIOCHEMISTRY DEPARTMENT
UNIVERSITAS MUHAMMADIYAH SUMATERA UTARA
Major Components of Hemostasis
Vasoconstriction (vascular phase)
Platelet activation
Fibrinolysis
Endothelial cells normally inhibit thromus
formation through multiple mechanism:
1. Secretion of prostacyclin inhibits
platelet activation and aggregation
2. Secretion of nitric oxide vasodilates
and inhibits platelet activation
aggregation
3. Expression of heparine sulfate
activates antithrombin
4. Thrombomodulin changes thrombins
affinity away from activation of
proclotting factors, and toward
activation of anticoagulants factors
5. Tissue factor pathway inhibitor
inhibits the Tf/viiA/Xa complex
Vasoconstriction reduce blood getting out
Myogenic spasm