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猫甲状腺功能亢进症的血小板功能。

Platelet function in cats with hyperthyroidism.

机构信息

Department of Small Animal Clinical Sciences, Virginia-Maryland College of Veterinary Medicine, Virginia Tech, Blacksburg, VA, USA.

Department of Biomedical Sciences and Pathobiology, Virginia-Maryland College of Veterinary Medicine, Virginia Tech, Blacksburg, VA, USA.

出版信息

J Feline Med Surg. 2020 Dec;22(12):1214-1218. doi: 10.1177/1098612X20920585. Epub 2020 May 21.

Abstract

OBJECTIVES

Cats with hyperthyroidism have been reported to develop thromboembolism, with and without echocardiographic abnormalities consistent with hyperthyroidism. The objective of this study was to compare platelet function in cats with hyperthyroidism with euthyroid age-matched cats. We hypothesized that cats with hyperthyroidism have shortened collagen and adenosine diphosphate (C-ADP) closure times as measured with the platelet function analyzer (PFA-100) in comparison with healthy, age-matched controls.

METHODS

Sixteen hyperthyroid and nine euthyroid healthy cats >7 years of age were recruited from the hospital population. Platelet function, measured using the C-ADP closure times by the PFA-100, and platelet count were measured in healthy euthyroid cats and cats with hyperthyroidism.

RESULTS

Mean ± SD closure times were not significantly different between control (66.3 ± 9.6 s) and hyperthyroid cats (65.9 ± 11.5 s;  = 0.75). The mean ± SD closure times of hyperthyroid cats that either were untreated or received methimazole for ⩽3 weeks (n = 6; mean 68.5 ± 15.4 s) was not different than that of cats treated for >3 weeks (n = 10; mean 64.3 ± 8.9 s;  = 0.57). The mean automated platelet count was higher in the hyperthyroid group than in the control group ( = 0.023).

CONCLUSIONS AND RELEVANCE

Platelet function, as measured by closure time under high shear conditions using C-ADP as an agonist, was not affected by hyperthyroidism in this group of cats. Further research is needed to determine if a hypercoagulable state exists in hyperthyroid cats and the potential roles platelets and von Willebrand factor may have.

摘要

目的

据报道,患有甲状腺功能亢进症的猫会发生血栓栓塞,伴或不伴有与甲状腺功能亢进症一致的超声心动图异常。本研究的目的是比较甲状腺功能亢进症猫与同龄甲状腺功能正常猫的血小板功能。我们假设甲状腺功能亢进症猫的胶原和二磷酸腺苷(C-ADP)闭合时间比健康、年龄匹配的对照组猫更短,这可以通过血小板功能分析仪(PFA-100)测量。

方法

从医院人群中招募了 16 只甲状腺功能亢进症猫和 9 只年龄匹配的健康甲状腺功能正常猫。使用 PFA-100 通过 C-ADP 闭合时间测量健康甲状腺功能正常猫和甲状腺功能亢进症猫的血小板功能和血小板计数。

结果

对照组(66.3 ± 9.6 s)和甲状腺功能亢进症猫(65.9 ± 11.5 s;  = 0.75)的平均 ± 标准差闭合时间无显著差异。未接受治疗或接受甲巯咪唑治疗 ⩽3 周的甲状腺功能亢进症猫(n = 6;平均 68.5 ± 15.4 s)的平均 ± 标准差闭合时间与治疗 >3 周的猫(n = 10;平均 64.3 ± 8.9 s;  = 0.57)无差异。甲状腺功能亢进症组的平均自动血小板计数高于对照组(  = 0.023)。

结论和相关性

在本研究的这群猫中,在高剪切条件下用 C-ADP 作为激动剂测量的血小板功能,不受甲状腺功能亢进症的影响。需要进一步研究以确定甲状腺功能亢进症猫是否存在高凝状态以及血小板和血管性血友病因子可能的作用。

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