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冠状动脉疾病中的血小板聚集研究。过去4.阿司匹林的作用。

Platelet aggregation studies in coronary artery disease. Past 4. Effect of aspirin.

作者信息

Mehta J, Mehta P, Burger C, Pepine C J

出版信息

Atherosclerosis. 1978 Oct;31(2):169-75. doi: 10.1016/0021-9150(78)90162-4.

DOI:10.1016/0021-9150(78)90162-4
PMID:728235
Abstract

We evaluated platelet aggregation in vitro in blood samples drawn simultaneously from aorta and coronary sinus. Platelet aggregation was significantly lower in the coronary venous blood than in the aortic blood in patients with coronary artery disease. Lower platelet counts were also observed in coronary venous blood. No such differences were seen in subjects with normal coronary arteries. Oral administration of aspirin eliminated the differences in platelet aggregation and counts across the myocardial vascular bed. These observations suggest that platelet sequestration in the myocardial vasculature may be related to the presence of disease in the coronary arteries.

摘要

我们在同时从主动脉和冠状静脉窦采集的血液样本中对血小板聚集进行了体外评估。在冠状动脉疾病患者中,冠状静脉血中的血小板聚集显著低于主动脉血中的血小板聚集。在冠状静脉血中还观察到较低的血小板计数。在冠状动脉正常的受试者中未观察到此类差异。口服阿司匹林消除了心肌血管床中血小板聚集和计数的差异。这些观察结果表明,心肌血管系统中血小板的滞留可能与冠状动脉疾病的存在有关。

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引用本文的文献

1
Aspirin resistance.阿司匹林抵抗
Adv Hematol. 2009;2009:937352. doi: 10.1155/2009/937352. Epub 2009 Apr 14.
2
Aspirin resistance in atherosclerosis.动脉粥样硬化中的阿司匹林抵抗
Curr Atheroscler Rep. 2008 Apr;10(2):149-57. doi: 10.1007/s11883-008-0022-2.
3
Antiplatelet resistance with aspirin and clopidogrel: is it real and does it matter?阿司匹林和氯吡格雷引起的抗血小板抵抗:它真的存在吗?它重要吗?
Curr Cardiol Rep. 2006 Jul;8(4):301-6. doi: 10.1007/s11886-006-0063-5.
4
The antithrombotic profile of aspirin. Aspirin resistance, or simply failure?阿司匹林的抗血栓形成特性。是阿司匹林抵抗,还是仅仅治疗失败?
Thromb J. 2004 Jan 14;2(1):1. doi: 10.1186/1477-9560-2-1.
5
Salutary effects of aspirin in coronary artery disease are not limited to its platelet inhibitory effects.阿司匹林在冠状动脉疾病中的有益作用并不局限于其血小板抑制作用。
Clin Cardiol. 1998 Dec;21(12):879-84. doi: 10.1002/clc.4960211204.
6
Circulating platelet aggregates: a chronic platelet activation in patients with transient ischaemic attacks.循环血小板聚集体:短暂性脑缺血发作患者的慢性血小板激活。
Ital J Neurol Sci. 1980 Jun;1(3):163-9. doi: 10.1007/BF02335846.