An analysis of lipids, lipoprotein Lp(a) and fibrinolytic markers was
carried out in 3 subject groups: 113 patients with a prior myocardial
infarction, 110 subjects, whose close relatives had sustained a myocar
dial infarction and in a control group of 107 phenotypically healthy s
ubjects. A total of eight factors was extracted by factor analysis, am
ong which the sixth one - infarction-fibrinogen was the most important
. It is this factor that most reliably determines the group of patient
s with myocardial infarction and clearly differentiates them from heal
thy subjects. An elevated fibrinogen concentration represents the most
important risk predictor of coronary heart disease and subsequent myo
cardial infarction, which is strongly supported by its prothrombotic e
ffect on the walls of the blood vessels and the development of thrombo
sis.