Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
July 1, 2001Anesthesia & Analgesia

The Effects of Heparin, Protamine, and Heparin/Protamine Reversal on Platelet Function Under Conditions of Arterial Shear Stress

View Full Paper
Ask AI
Bookmark
Share

Key result

Heparin and protamine both prolonged platelet hemostasis time and collagen-induced thrombus formation, with protamine reversal of heparin's antiplatelet effect occurring within a narrow window.

Why the study?

Do heparin, protamine, and varying heparin/protamine ratios affect platelet function under conditions of arterial shear stress in an in vitro model?

Population

In vitro physiologic model using flowing whole blood

Design

Preclinical

Authors

MGMichael J. GriffinUniversity of LimerickHRHenry M. RinderYale UniversityBSBrian R. SmithUniversity of California, Irvine Medical Center

Discussion

Loading...

Member takes

Implication

Protamine reversal of heparin's antiplatelet effect occurs within a narrow window (optimal at a 1:1.5 ratio) due to the direct antiplatelet effects of protamine.

Structured PICO

Do heparin, protamine, and varying heparin/protamine ratios affect platelet function under conditions of arterial shear stress in an in vitro model?

P
Population
In vitro physiologic model using flowing whole blood
I
Intervention
Heparin (20 microg/mL), protamine (20, 40, 80 microg/mL), and varying heparin/protamine ratios (1:1, 1:1.5, 1:2)
O
Outcome
Platelet function under conditions simulating arterial flow (collagen-induced thrombus formation [CITF] and platelet hemostasis time [PHT])surrogate

Protamine reversal of heparin's antiplatelet effect occurs within a narrow window (optimal at a 1:1.5 ratio) due to the direct antiplatelet effects of protamine.

Cite This Study

Griffin et al. (2001) studied Blood loss after cardiopulmonary bypass. Heparin, protamine, and heparin/protamine ratios was evaluated on Platelet hemostasis time (PHT) and collagen-induced thrombus formation (CITF). Heparin and protamine both prolonged platelet hemostasis time and collagen-induced thrombus formation, with protamine reversal of heparin's antiplatelet effect occurring within a narrow window.

synapsesocial.com/papers/6a93c4bd40aff459acebcd21https://doi.org/10.1097/00000539-200107000-00005

Topics

Atrial fibrillationPersistent AF management
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Hemostatic effects of low-dose protamine following cardiopulmonary bypass2000 · 23 citations
  2. 2On the role of von Willebrand factor in promoting platelet adhesion to fibrin in flowing blood1995 · 53 citations
  3. 3Platelet Aggregation Following Heparin and Protamine Administration1978 · 79 citations
  4. 4Heparin inhibition of von Willebrand factor-dependent platelet function in vitro and in vivo.1991 · 200 citations