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The time course and clinical impact of thrombin generation after primary percutaneous coronary intervention (pPCI) in patients with ST-elevation myocardial infarction (STEMI) is unknown. Serum thrombin-antithrombin complexes (TAT) and prothrombin fragments 1 + 2 (F1 + 2) were measured in 170 STEMI patients 2-12 h after pPCI. TIMI risk score and myocardial blush grade (MBG) were used to assess myocardial reperfusion. Primary clinical outcome was major adverse cardiac events (MACE) occurring during hospital stay. Median age was 64.5 years (IQR 56-71), 113 were male (66%), median peak troponin I level was 13.7 ng/ml (IQR 9.0-24.7), and 83 (48%) patients were receiving intravenous glycoprotein IIb/IIIa inhibitors. Median TAT and F1 + 2 were 208 ng/ml (IQR 122-315) and 61.4 ng/ml (IQR 45.6-76.5), respectively, and were detectable in all patients. Significant correlations
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