Blood coagulation

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Blood coagulation is a complex process that helps prevent excessive bleeding when the body's blood vessels are injured. The process is also known as clotting. It involves a series of chemical reactions that result in the formation of a clot, which is a mass of blood cells and fibrin strands that seals the injured blood vessel.

Process of Blood Coagulation[edit | edit source]

The process of blood coagulation is initiated when blood vessels are damaged. The damaged cells release chemicals that start the clotting process. This process involves several steps:

  1. Vasoconstriction: Immediately after the injury, the blood vessel constricts to limit blood flow.
  2. Formation of the platelet plug: Platelets in the blood stick to the damaged area of the vessel and to each other, forming a plug.
  3. Coagulation cascade: A series of chemical reactions, known as the coagulation cascade, leads to the formation of a fibrin clot. This involves the activation of clotting factors, proteins in the blood that are produced by the liver.

Coagulation Factors[edit | edit source]

There are 13 known coagulation factors, which are designated by Roman numerals (I through XIII). The coagulation factors interact in a complex sequence of chemical reactions to form a fibrin clot. The process is regulated by various inhibitors that prevent the clot from growing too large.

Disorders of Blood Coagulation[edit | edit source]

Disorders of blood coagulation can lead to excessive bleeding or excessive clotting. These include:

  1. Hemophilia: A genetic disorder that impairs the body's ability to make blood clots.
  2. Von Willebrand disease: A genetic disorder caused by missing or defective von Willebrand factor, a clotting protein.
  3. Deep vein thrombosis: A blood clot that forms in a vein deep in the body, often in the leg.

See Also[edit | edit source]

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Contributors: Prab R. Tumpati, MD