Pinazo, Maria-JesusPosada, ElizabethIzquierdo Lázaro, LuisTàssies Penella, María DoloresFerreira Marques, AlexandreLazzari, Elisa deAldasoro, EdelweissMuñoz, JoséAbras Feliu, AlbaTebar, SilviaGállego Culleré, M. (Montserrat)Almeida, Igor Correia deReverter Calatayud, Juan CarlosGascón i Brustenga, Joaquim2017-06-062017-06-0620161935-2735https://hdl.handle.net/2445/112005Thromboembolic events were described in patients with Chagas disease without cardiomyopathy. We aim to confirm if there is a hypercoagulable state in these patients and to determine if there is an early normalization of hemostasis factors after antiparasitic treatment. Ninety-nine individuals from Chagas disease-endemic areas were classified in two groups: G1, with T.cruzi infection (n = 56); G2, healthy individuals (n = 43). Twenty-four hemostasis factors were measured at baseline. G1 patients treated with benznidazole were followed for 36 months, recording clinical parameters and performance of conventional serology, chemiluminescent enzyme-linked immunosorbent assay (trypomastigote-derived glycosylphosphatidylinositol-anchored mucins), quantitative polymerase chain reaction, and hemostasis tests every 6-month visits. Prothrombin fragment 1+2 (F1+2) and endogenous thrombin potential (ETP) were abnormally expressed in 77% and 50% of infected patients at baseline but returned to and remained at normal levels shortly after treatment in 76% and 96% of cases, respectively. Plasmin-antiplasmin complexes (PAP) were altered before treatment in 32% of G1 patients but normalized in 94% of cases several months after treatment. None of the patients with normal F1+2 values during follow-up had a positive qRT-PCR result, but 3/24 patients (13%) with normal ETP values did. In a percentage of chronic T. cruzi infected patients treated with benznidazole, altered coagulation markers returned into normal levels. F1+2, ETP and PAP could be useful markers for assessing sustained response to benznidazole.14 p.application/pdfengcc-by (c) Pinazo, María Jesús et al., 2016http://creativecommons.org/licenses/by/3.0/esHemostàsiaMalalties parasitàriesMalaltia de ChagasHemostasisParasitic diseasesChagas' diseaseinfo:eu-repo/semantics/article6655802017-06-06info:eu-repo/semantics/openAccess26727000