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January 1, 1984Thrombosis and Haemostasis

Intra-Platelet Platelet Factor 4 (IP.PF4) and the Heparin-Mobilisable Pool of PF4 in Health and Atherosclerosis

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Key result

Atherosclerosis and diabetes linked to lower intraplatelet PF4 and greater plasma PF4 release following IV heparin.

Why the study?

Does the intraplatelet level of PF4 and the heparin-mobilisable pool of PF4 differ between patients with atherosclerosis or diabetes and healthy controls?

Population

Patients with clinical evidence of atherosclerosis and patients with diabetes, along with appropriate…

Comparison

Intravenous heparin injection. vs Appropriate controls without atherosclerosis or…

Design

Cross-sectional

Follow-up

24 hours

Authors

JOJohn O’BrienUniversity of HoustonMEM.D. EtheringtonUniversity of Pittsburgh Medical CenterMPM Pashley

Discussion

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Implication

May affect heparin responses in atherosclerosis and diabetes; leaves open clinical relevance for dosing or events.

Study Design

Type

Case-Control

Structured PICO

Does the intraplatelet level of PF4 and the heparin-mobilisable pool of PF4 differ between patients with atherosclerosis or diabetes and healthy controls?

P
Population
Patients with clinical evidence of atherosclerosis and diabetes compared with appropriate controls.
E
Exposure
Intravenous heparin injection (with a second injection given 24 hours after the first).
C
Comparator
Appropriate controls without atherosclerosis or diabetes.
O
Outcome
Intraplatelet level of platelet factor 4 (PF4) and plasma PF4 levels after intravenous heparin injection.surrogate

Patients with atherosclerosis and diabetes have altered platelet PF4 content and an exaggerated release of PF4 in response to heparin compared to controls.

Cite This Study

O’Brien et al. (1984) conducted a case-control in Atherosclerosis and diabetes. Atherosclerosis and diabetes vs. Controls was evaluated on Intraplatelet level of platelet factor 4 (PF4) and heparin-mobilisable pool of PF4. Patients with atherosclerosis and diabetes had significantly decreased intraplatelet PF4 levels and liberated more PF4 into plasma following intravenous heparin compared to controls.

synapsesocial.com/papers/6aa4eee58cfe0c48ab2840e8https://doi.org/10.1055/s-0038-1661100
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Heparin and platelet release reaction in diabetes mellitus.1985
  2. 2Heparin‐releasable platelet factor 4 in patients with coronary artery disease1991 · 13 citations
  3. 3Increased plasma concentrations of platelet factor 4 in coronary artery disease: a measure of in vivo platelet activation and secretion.1981 · 74 citations
  4. 4Effect of heparin on in vivo platelet factor 4 (PF4) release and platelet aggregation after aspirin administration1980 · 11 citations
  5. 5Platelet Factor 4 (PF4) Release during Human Platelet Aggregation in Diabetic Patients1970 · 22 citations