Document Detail


Venous hypertension induces increased platelet reactivity and accumulation in patients with chronic venous insufficiency.
MedLine Citation:
PMID:  16703192     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of this study was to determine whether there are changes in platelet activation and rheology in patients with chronic venous insufficiency (CVI) and what their impact is on this disease. Anticoagulated peripheral venous blood collected from 21 patients with CVI and 13 normal control subjects in different bodily positions was incubated either with 0.5 mumol/L adenosine diphosphate (ADP) or without agonist and analyzed by whole blood flow cytometry. Soluble P-selectin was analyzed in obtained sera by enzyme-linked immunosorbent assay. Platelet count was determined by a whole blood analyzer. Circulating platelets were more reactive to stimulation with 0.5 mumol/L ADP in patients with CVI compared with control subjects. There was no statistically significant change in platelet activation without ADP and the level of soluble P-selectin as a function of posture. Under simulated venous hypertension, platelet accumulation was observed in patients with CVI. Patients with CVI had increased platelet reactivity and accumulation during orthostasis, suggesting this might be a contributory factor to CVI pathogenesis.
Authors:
Xinwu Lu; Yujie Chen; Yin Huang; Weimin Li; Mier Jiang
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Angiology     Volume:  57     ISSN:  0003-3197     ISO Abbreviation:  Angiology     Publication Date:    2006 May-Jun
Date Detail:
Created Date:  2006-05-16     Completed Date:  2006-07-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0203706     Medline TA:  Angiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  321-9     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, Shanghai 9th People's Hospital affiliated Shanghai Second Medical University, Shanghai, China. luxinwu@yahoo.com.cn
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MeSH Terms
Descriptor/Qualifier:
Adenosine Diphosphate / pharmacology
Aged
Blood Platelets / drug effects,  metabolism
Chronic Disease
Dizziness / blood
Female
Flow Cytometry
Humans
Hypertension / blood,  physiopathology*
Male
Middle Aged
P-Selectin / blood
Platelet Activation*
Platelet Count
Supine Position
Venous Insufficiency / blood,  physiopathology*
Chemical
Reg. No./Substance:
0/P-Selectin; 58-64-0/Adenosine Diphosphate

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


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