Hemostasis Reference LaboratoryThrombin Time
A low concentration of thrombin is added to plasma and the rate of reaction for the conversion of fibrinogen to fibrin is measured in seconds. The enzymatic cleavage of fibrin peptides is rate limiting because of the low concentration of thrombin. Prolongation of thrombin time can be caused by heparin, elevated levels of fibrin/fibrinogen degradation products (FDP), hereditary or acquired fibrinogen abnormalities (hypofibrinogenemia or dysfibrinogenemia), or the presence of fibrinolytic agents (e.g., streptokinase, urokinase).
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