Document Detail


Plasma salicylate level and aspirin resistance in survivors of myocardial infarction.
MedLine Citation:
PMID:  19543695     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To investigate the effect of aspirin on the platelets of survivors of myocardial infarction we correlated plasma salicylate level with platelet reactivity in ten patients and ten normal controls. The patients and controls were tested at the end of 2 week periods on 75, 150 and 300 mg aspirin daily by mouth. Platelet reactivity was measured, under high shear stress conditions, using cartridges containing adrenaline and adenosine diphosphate in a PFA-100 platelet function analyser. The time taken by the developing platelet aggregate to close an aperture in the collagen membrane of the cartridge, the closure time, was taken as an index of platelet reactivity. There was no difference in baseline haematocrit, platelet count or plasma vWF antigen level between the groups. There was a dose-dependent increase in closure time of the adrenaline containing cartridge in the controls (P < 0.001), but not in the patients (P = 0.08), compatible with a reduced anti-platelet effect of aspirin in the patients. Furthermore, plasma salicylate level was higher in the patient group (P < 0.05).
Authors:
Nabeel Ahmed; John Meek; Graham J Davies
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of thrombosis and thrombolysis     Volume:  29     ISSN:  1573-742X     ISO Abbreviation:  J. Thromb. Thrombolysis     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-10     Completed Date:  2010-08-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9502018     Medline TA:  J Thromb Thrombolysis     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  416-20     Citation Subset:  IM    
Affiliation:
Division of Cardiology, Hammersmith Hospital & Imperial College School of Medicine, London, UK. drnabeel@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Administration, Oral
Adult
Aged
Aspirin* / administration & dosage,  pharmacokinetics
Blood Platelets / metabolism*
Dose-Response Relationship, Drug
Drug Resistance*
Female
Humans
Male
Middle Aged
Myocardial Infarction / blood,  drug therapy*,  mortality
Platelet Aggregation / drug effects*
Platelet Aggregation Inhibitors* / administration & dosage,  pharmacokinetics
Platelet Count
Salicylates / pharmacokinetics
Chemical
Reg. No./Substance:
0/Platelet Aggregation Inhibitors; 0/Salicylates; 50-78-2/Aspirin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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