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January 1, 1985Thrombosis and Haemostasis4 citations

Enhanced “In Vitro“ Release of Platelet α-Granules After Acute Myocardial Infarction (AMI)

VPVittorio PengoMBM BoschelloPPPaolo Prandoni

Key Result

The provided text contains only journal masthead and editorial board information, with no clinical study data.

Structured PICO

P
Population
58 patients with Acute Myocardial Infarction (AMI) on admittance to the Coronary Care Unit. Excluded if they had associated diseases known to increase platelet activity.
C
Comparator
Control group
O
Outcome
In vivo platelet activity evaluated by plasma concentration of beta-thromboglobulin (β-TG) and platelet factor 4 (PF4)surrogate

Patients with acute myocardial infarction demonstrate a greater tendency for in vitro platelet release in the acute phase, which normalizes by 6 months.

Abstract

Summary In vivo platelet activity was studied in 58 patients with AMI on admittance to the Coronary Care Unit, in 48 of these patients after 1 week, in 30 after 1 month and in 24 patients after 6 months. Patients were carefully selected and excluded if they had associated diseases known to increase platelet activity. In vivo activation was studied by evaluating the plasma concentration of beta-thromboglobulin (β-TG) and platelet factor 4 (PF4) in the same blood sample. On admittance (x = 58.5) and on day 7 (x = 52.9) β-TG values were significantly higher than those obtained in the control group (x = 29). β-TG values were moderately elevated after 1 month (x = 37.7) and then returned to values similar to those of the control group after 6 months (x = 27.9). The simultaneous assessment of PF4 shows a β-TG/PF4 ratio indicative for in vitro release (≤2.5) in many patients on days 1 and 7. Moreover, the β-TG/PF4 ratio in patients with AMI tends towards 2 when β-TG values are high. These results may indicate a greater tendency to an in vitro platelet release in the acute phase of AMI.

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Pengo et al. (1985) studied this question. The provided text contains only journal masthead and editorial board information, with no clinical study data.

synapsesocial.com/papers/6a0accc99b4eb2f7ce2e19a8https://doi.org/10.1055/s-0038-1657893
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