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冠心病患者冠状窦血与主动脉血中血小板聚集的差异:普萘洛尔的作用

Differences in platelet aggregation in coronary sinus and aortic blood in patients with coronary artery disease: effect of propranolol.

作者信息

Mehta J, Mehta P, Pepine C J

出版信息

Clin Cardiol. 1978 Aug;1(2):96-100. doi: 10.1002/clc.4960010208.

DOI:10.1002/clc.4960010208
PMID:756822
Abstract

Platelet aggregation was studied in aortic and coronary sinus blood samples obtained from 18 patients with coronary artery disease (CAD). Using epinephrine and ADP as aggregating agents, platelet aggregation was lower in coronary venous blood than in aortic blood. In nine patients on long-term propranolol therapy, platelet aggregation was lower in both aortic and coronary venous blood compared to the nine patients not taking propranolol. Four other subjects without angiographic evidence of coronary disease exhibited no difference in platelet aggregation in aortic and coronary sinus blood. These data suggest that platelet aggregation is lower in the coronary venous blood of certain patients with coronary disease and chronic propranolol treatment may reduce aggregation in both aortic and coronary sinus blood.

摘要

对18例冠心病(CAD)患者采集的主动脉血和冠状窦血样本进行了血小板聚集研究。以肾上腺素和二磷酸腺苷(ADP)作为聚集剂,冠状静脉血中的血小板聚集低于主动脉血。在9例接受长期普萘洛尔治疗的患者中,与9例未服用普萘洛尔的患者相比,主动脉血和冠状静脉血中的血小板聚集均较低。另外4例无冠状动脉造影证据的受试者,其主动脉血和冠状窦血中的血小板聚集无差异。这些数据表明,某些冠心病患者的冠状静脉血中血小板聚集较低,长期普萘洛尔治疗可能会降低主动脉血和冠状窦血中的聚集。

相似文献

1
Differences in platelet aggregation in coronary sinus and aortic blood in patients with coronary artery disease: effect of propranolol.冠心病患者冠状窦血与主动脉血中血小板聚集的差异:普萘洛尔的作用
Clin Cardiol. 1978 Aug;1(2):96-100. doi: 10.1002/clc.4960010208.
2
Platelet aggregation in aortic and coronary venous blood in patients with and without coronary disease. 3. Role of tachycardia stress and propranolol.患有和未患有冠心病的患者主动脉和冠状静脉血中的血小板聚集。3. 心动过速应激和普萘洛尔的作用。
Circulation. 1978 Nov;58(5):881-6. doi: 10.1161/01.cir.58.5.881.
3
Platelet aggregation studies in coronary artery disease. Past 4. Effect of aspirin.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。
Atherosclerosis. 1978 Oct;31(2):169-75. doi: 10.1016/0021-9150(78)90162-4.
4
[Effects of nitrates and beta-blockers on platelet aggregation in patients with coronary heart disease].[硝酸盐和β受体阻滞剂对冠心病患者血小板聚集的影响]
Pol Merkur Lekarski. 2000 Feb;8(44):77-9.
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Platelet function studies in coronary artery disease. VII. Effect of aspirin and tachycardia stress on aortic and coronary venous blood.冠状动脉疾病中的血小板功能研究。VII. 阿司匹林和心动过速应激对主动脉和冠状静脉血的影响。
Am J Cardiol. 1980 May;45(5):945-51. doi: 10.1016/0002-9149(80)90161-7.
6
The influence of combined treatment with propranolol and acetylsalicylic acid on platelet aggregation in coronary heart disease.普萘洛尔与乙酰水杨酸联合治疗对冠心病患者血小板聚集的影响。
Br J Clin Pharmacol. 1979 Mar;7(3):287-91. doi: 10.1111/j.1365-2125.1979.tb00934.x.
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Comparison of the effects of carvedilol, propranolol, and verapamil on in vitro platelet function in healthy volunteers.卡维地洛、普萘洛尔和维拉帕米对健康志愿者体外血小板功能影响的比较。
J Cardiovasc Pharmacol. 1991;18 Suppl 4:S29-34.
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Platelet function in blood from the coronary sinus in patients with arteriosclerotic heart disease.
Thromb Haemost. 1983 Oct 31;50(3):629-32.
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Effects of acute myocardial ischaemia on platelet aggregation in the coronary sinus and aorta in dogs.急性心肌缺血对犬冠状动脉窦和主动脉中血小板聚集的影响。
Scand J Haematol. 1977 Jul;19(1):68-74. doi: 10.1111/j.1600-0609.1977.tb02720.x.
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Intravascular microaggregation and in vitro platelet aggregation in coronary artery disease.冠状动脉疾病中的血管内微聚集和体外血小板聚集
Thromb Res. 1984 Apr 1;34(1):9-18. doi: 10.1016/0049-3848(84)90102-6.

引用本文的文献

1
Effect of β-blockers on platelet aggregation: a systematic review and meta-analysis.β受体阻滞剂对血小板聚集的影响:一项系统评价和荟萃分析。
Br J Clin Pharmacol. 2014 Nov;78(5):940-9. doi: 10.1111/bcp.12404.
2
The antihypertensive efficacy and safety of a chronotherapeutic formulation of propranolol in patients with hypertension.普萘洛尔时辰治疗制剂在高血压患者中的降压疗效及安全性。
J Clin Hypertens (Greenwich). 2004 May;6(5):231-41. doi: 10.1111/j.1076-7460.2004.3624.x.
3
Ultrastructure of platelets before and during atrial stimulation. Differences in the coronary sinus and aortic blood in patients with angina pectoris.
Klin Wochenschr. 1981 Mar 2;59(5):237-43. doi: 10.1007/BF01476581.
4
Alpha- and beta-blockade in angina pectoris.心绞痛中的α和β受体阻滞剂
Drugs. 1984;28 Suppl 2:69-87. doi: 10.2165/00003495-198400282-00006.
5
The cardiovascular and platelet effects of epoprostenol (prostacyclin, PGI2) are unaffected by beta-adrenoceptor blockade in man.依前列醇(前列环素,PGI2)对人体心血管及血小板的作用不受β-肾上腺素受体阻断的影响。
Br J Clin Pharmacol. 1982 Sep;14(3):369-77. doi: 10.1111/j.1365-2125.1982.tb01993.x.