PMID- 33665845 OWN - NLM STAT- MEDLINE DCOM- 20210625 LR - 20220930 IS - 1939-1676 (Electronic) IS - 0891-6640 (Print) IS - 0891-6640 (Linking) VI - 35 IP - 2 DP - 2021 Mar TI - Coagulation status, fibrinolysis, and platelet dynamics in dogs with chronic inflammatory enteropathy. PG - 892-901 LID - 10.1111/jvim.16092 [doi] AB - BACKGROUND: Coagulation status is poorly understood in dogs with chronic inflammatory enteropathy (CIE). Fibrinolytic activity and platelet dynamics have not been evaluated in CIE dogs. OBJECTIVES: To assess coagulation status and fibrinolysis in normoalbuminemic CIE dogs (CIE-N) and CIE dogs with protein-losing enteropathy (CIE-PLE) compared to healthy controls (HC). To evaluate thromboelastography (TEG) variable differences between groups and for correlations with clinicopathologic data. To report platelet dynamics in CIE dogs. ANIMALS: Twenty-five client-owned dogs with CIE (n = 16 CIE-N; n = 9 CIE-PLE); 14 HC beagle dogs. METHODS: All dogs had tissue factor + tissue plasminogen activator TEG. Nine of 25 CIE dogs had whole blood impedance platelet aggregometry. The TEG variables and coagulation data were compared between all CIE vs HC dogs, CIE-N dogs vs HC, and CIE-PLE dogs vs HC. Clinicopathologic and coagulation data were available for CIE dogs and assessed for correlation to TEG variables. RESULTS: Dogs with CIE had higher maximum amplitude (MA; P < .001), longer clot lysis times (CLTs; P < .001), lower % lysis after 30 minutes (LY30; P < .001), and % lysis after 60 minutes (LY60; P < .001) compared to HC, suggesting hypercoagulability and hypofibrinolysis. When separated out, both CIE-N and CIE-PLE dogs had higher MA, longer CLT, and lower LY30 and LY60 compared to HC. Serum albumin and 25-hydroxyvitamin D (25[OH]D) concentrations, and plasma antithrombin and fibrinogen concentrations moderately correlated with MA. CONCLUSIONS AND CLINICAL IMPORTANCE: Normoalbuminemic and hypoalbuminemic CIE dogs were considered hypercoagulable based on TEG compared to HC. Some CIE dogs displayed hypofibrinolytic phenotypes on TEG. CI - (c) 2021 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals LLC on behalf of American College of Veterinary Internal Medicine. FAU - Wennogle, Sara A AU - Wennogle SA AUID- ORCID: 0000-0002-6486-3644 AD - Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado, USA. FAU - Olver, Christine S AU - Olver CS AUID- ORCID: 0000-0002-9937-2706 AD - Department of Microbiology, Immunology, and Pathology, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado, USA. FAU - Shropshire, Sarah B AU - Shropshire SB AUID- ORCID: 0000-0002-6472-5452 AD - Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado, USA. LA - eng PT - Journal Article DEP - 20210304 PL - United States TA - J Vet Intern Med JT - Journal of veterinary internal medicine JID - 8708660 RN - EC 3.4.21.68 (Tissue Plasminogen Activator) SB - IM EIN - J Vet Intern Med. 2022 Sep 30;:. PMID: 36178304 MH - Animals MH - Dogs MH - Fibrin Clot Lysis Time/veterinary MH - *Fibrinolysis MH - Prospective Studies MH - Thrombelastography/veterinary MH - *Tissue Plasminogen Activator PMC - PMC7995439 OTO - NOTNLM OT - coagulation OT - enteropathy OT - fibrinolysis OT - platelet dynamics OT - thromboelastography COIS- Authors declare no conflict of interest. EDAT- 2021/03/06 06:00 MHDA- 2021/06/29 06:00 PMCR- 2021/03/01 CRDT- 2021/03/05 06:11 PHST- 2021/02/12 00:00 [revised] PHST- 2020/10/24 00:00 [received] PHST- 2021/02/19 00:00 [accepted] PHST- 2021/03/06 06:00 [pubmed] PHST- 2021/06/29 06:00 [medline] PHST- 2021/03/05 06:11 [entrez] PHST- 2021/03/01 00:00 [pmc-release] AID - JVIM16092 [pii] AID - 10.1111/jvim.16092 [doi] PST - ppublish SO - J Vet Intern Med. 2021 Mar;35(2):892-901. doi: 10.1111/jvim.16092. Epub 2021 Mar 4.