Table 1.

Factors in children that affect the action of UFH

UFH factorAge-related difference
UFH acts via antithrombin-mediated catabolism of thrombin and factor Xa Reduced levels of antithrombin and prothrombin 
 Reduced capacity to generate thrombin 
 Age related difference in anti–factor Xa/anti–factor IIa activity of UFH 
UFH is bound to plasma proteins, which limits free active UFH Alterations in plasma binding 
Endothelial release of TFPI Age-related differences in amount of TFPI release for same amount of UFH 
UFH factorAge-related difference
UFH acts via antithrombin-mediated catabolism of thrombin and factor Xa Reduced levels of antithrombin and prothrombin 
 Reduced capacity to generate thrombin 
 Age related difference in anti–factor Xa/anti–factor IIa activity of UFH 
UFH is bound to plasma proteins, which limits free active UFH Alterations in plasma binding 
Endothelial release of TFPI Age-related differences in amount of TFPI release for same amount of UFH 
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