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Fibrinogen plays an essential role in the coagulation process. Thrombin (an enzyme present in the blood) converts fibrinogen to form fibrin fibres, which form a fibrin scaffold. The fibrin scaffold, together with the adherent platelets, forms a blood clot to prevent further blood loss.
The test helps determine if the level of fibrinogen is adequate to promote normal blood clotting. Hereditary fibrinogen deficiency, abnormal composition and function of the fibrinogen molecule, and disseminated intravascular coagulation (DIC) can all be diagnosed with the test.
Disseminated intravascular coagulation is a severe, often life-threatening condition associated with abnormal activation of the blood coagulation system within the vascular system.
The clotting system works properly if the clot is formed solely at the site of injury. If the activation of the coagulation system is excessive, the formation of clots in the vascular system is scattered (in several places), which can lead to abnormal clotting, sometimes bleeding or organ damage.

In case of prolonged bleeding of unknown origin, and if the patient’s close relative has a hereditary fibrinogen deficiency, or to assess the risk of cardiovascular disease.

A blood sample taken from a vein is required to perform the test.
Decreased fibrinogen levels can damage the body’s blood clotting system. Chronically low fibrinogen levels can occur when there is no production for genetic reasons (afibrinogenemia) or when the patient is malnourished or has liver disease. Acutely low fibrinogen levels can be observed in disseminated intravascular coagulation and some cancers.
Elevated fibrinogen levels are usually present in the patient’s body on a temporary basis. It can occur in acute infections, infarction, stroke, trauma, rheumatoid arthritis, chronic DIC, certain tumours, and coronary heart diseases.
In all cases, please consult the specialist who ordered the test or a doctor with experience in coagulation disorders.
Informational content only The textual content published on this page is for general information purposes only and does not constitute medical advice, a diagnosis, or a treatment recommendation. Proper assessment, examination, and therapeutic decisions always require a personal medical consultation and, where appropriate, further specialist opinion. Medicare Egészségközpont Zrt. makes every reasonable effort to keep the content up to date; however, it accepts no liability for the completeness or accuracy of the information published or for consequences arising from decisions based on it.