Summary:One of the most present clinical manifestations of long and progressive atherothrombotic occurrences is the ischemic cerebrovascular insult, one of the leading causes of death and illness in the world. Lately, a growing number of scientists believe that disorders in the fibrinolytic mechanism function are the key to the occurrence of cerebral ischemia. The goal of this study is to investigate whether the disorder of the fibrinolytic mechanism has influence on the occurrence of ischemic cerebrovascular insult. Our study includes 90 examinees, 60 of which suffer from ischemic cerebrovascular insult and 30 are clinically healthy examinees forming the control group. The results of our investigation show that statistically a significantly larger number of patients has decreased fibrinolytic potential comparing with controls (p<0.01). According to this, it has been noted that euglobulin lysis clot time in the patient group is significantly longer (p=0.005). Statistically, no significant difference has been noted related to the activity of plasminogen (p=0.085). Further on, the plasminogen activator inhibitor-1 values among the patients have been significantly higher (p=6.20×10 ). The results of this investigation impose the conclusions that the decrease in fibrinolytic potential affects the occurrence of ischemic cerebrovascular insult, that it is directly connected to the higher levels of plasminogen activator inhibitor-1 and that the growth of tissue-type plasminogen activator antigen concentration participates in the decrease of fibrinolytic potential among patients suffering from cerebral ischemia. Keywords: fibrinolytic system, plasminogen, tissue-type plasminogen activator, plasminogen activator inhibitor-1 Kratak sadr`aj: Jedna od naj~e{}ih klini~kih manifestacija dugotrajnih i progresivnih aterotrombotskih zbivanja je ishemijski cerebrovaskularni insult. To oboljenje se danas nalazi me|u vode}im uzrocima morbiditeta i mortaliteta u ve}ini zemalja. U poslednje vreme sve je ve}i broj nau~nika koji smatraju da su poreme}aji fibrinoliznog mehanizma kljuñ astanka cerebralne ishemije. Cilj na{e studije bio je upravo da ispitamo da li poreme}aj fibrinoliznog mehanizma ima uticaja na nastanak ishemijskog cerebrovaskularnog insulta. U studiju je uklju~eno 90 ispitanika, od toga 60 bolesnika koji su do`iveli cerebrovaskularni insult po tipu ishemije i 30 klini~ki zdravih osoba, koje su ~inile kontrolnu grupu. Rezultati na{eg istra`ivanja ukazuju na statisti~ki zna~ajno ve}i broj ispitanika sa suprimiranim fibrinoliznim potencijalom u grupi bolesnika u odnosu na kontrolnu grupu (p<0,01). U skladu s tim, ustanovljeno je statisti~ki zna~ajno du`e euglobulinsko vreme lize koaguluma me|u bolesnicima nego me|u kontrolama (p=0,005). Nije uo~ena statisti~ki zna~ajna razlika u aktivnosti plazminogena izme|u te dve grupe ispitanika (p=0,085), dok su vrednosti inhibitora aktivatora plazminogena-1 (p=6,20×10 -11 ) i antigena tkivnog aktivatora plazminogena (p=5,20×10 -5 ) statisti~ki zna~ajno vi{e u grupi bolesnika. Ov...