Acute and chronic phase platelet aggregability studies in Chinese patients after implantation of a permanent transvenous pacemaker

It has been suggested that the incidence of thromboembolic events always increases in patients after insertion of a transvenous pacemaker. Blood samples from twenty consecutive patients (fifteen males and five females) before and after pacemaker implantation was retained for platelet aggregability s...

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Veröffentlicht in:International journal of cardiology 1999-04, Vol.69 (1), p.83-86
Hauptverfasser: Kong, Chi-Woon, Shih, Chun-Jo, Hsiao, Hsiang-Chiang, Chang, Hsin-Ya, Tai, Ho-Chang, Lee, Kuan-Hwa, Hu, Hui-Yu, Tzeng, Cheng-Hwai
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container_end_page 86
container_issue 1
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container_title International journal of cardiology
container_volume 69
creator Kong, Chi-Woon
Shih, Chun-Jo
Hsiao, Hsiang-Chiang
Chang, Hsin-Ya
Tai, Ho-Chang
Lee, Kuan-Hwa
Hu, Hui-Yu
Tzeng, Cheng-Hwai
description It has been suggested that the incidence of thromboembolic events always increases in patients after insertion of a transvenous pacemaker. Blood samples from twenty consecutive patients (fifteen males and five females) before and after pacemaker implantation was retained for platelet aggregability studies which were analyzed separately with ADP, collagen, epinephrine and arachidonic acid. The maximal amplitude of platelet aggregatory curve was detected by an aggregometer. The samples collected the day before pacemaker implantation (day 0) were used as self-control. Day 1 and day 3 after pacemaker implantation were defined as the acute phase, while day 30 was defined as the chronic phase. The maximal amplitude of platelet aggregatory curve was observed to be lowest on day 1 and then return to normal on day 3 and day 30. The results of platelet aggregability, however, showed no significant difference ( P>0.05) between self-control and post-implantation samples. In conclusion, there was no significant change in platelet aggregability for either acute or chronic phases after pacemaker implantation. Antiplatelet medications may not be necessary for the prevention of thromboembolic events after the implantation of a pacemaker.
doi_str_mv 10.1016/S0167-5273(99)00012-1
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Blood samples from twenty consecutive patients (fifteen males and five females) before and after pacemaker implantation was retained for platelet aggregability studies which were analyzed separately with ADP, collagen, epinephrine and arachidonic acid. The maximal amplitude of platelet aggregatory curve was detected by an aggregometer. The samples collected the day before pacemaker implantation (day 0) were used as self-control. Day 1 and day 3 after pacemaker implantation were defined as the acute phase, while day 30 was defined as the chronic phase. The maximal amplitude of platelet aggregatory curve was observed to be lowest on day 1 and then return to normal on day 3 and day 30. The results of platelet aggregability, however, showed no significant difference ( P&gt;0.05) between self-control and post-implantation samples. In conclusion, there was no significant change in platelet aggregability for either acute or chronic phases after pacemaker implantation. Antiplatelet medications may not be necessary for the prevention of thromboembolic events after the implantation of a pacemaker.</description><identifier>ISSN: 0167-5273</identifier><identifier>EISSN: 1874-1754</identifier><identifier>DOI: 10.1016/S0167-5273(99)00012-1</identifier><identifier>PMID: 10362377</identifier><identifier>CODEN: IJCDD5</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Aged ; Biological and medical sciences ; China ; Diseases of the cardiovascular system ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Pacemaker, Artificial - adverse effects ; Platelet Aggregation - physiology ; Platelet Aggregation Inhibitors - therapeutic use ; Platelet Function Tests ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. 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Blood samples from twenty consecutive patients (fifteen males and five females) before and after pacemaker implantation was retained for platelet aggregability studies which were analyzed separately with ADP, collagen, epinephrine and arachidonic acid. The maximal amplitude of platelet aggregatory curve was detected by an aggregometer. The samples collected the day before pacemaker implantation (day 0) were used as self-control. Day 1 and day 3 after pacemaker implantation were defined as the acute phase, while day 30 was defined as the chronic phase. The maximal amplitude of platelet aggregatory curve was observed to be lowest on day 1 and then return to normal on day 3 and day 30. The results of platelet aggregability, however, showed no significant difference ( P&gt;0.05) between self-control and post-implantation samples. In conclusion, there was no significant change in platelet aggregability for either acute or chronic phases after pacemaker implantation. 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subjects Aged
Biological and medical sciences
China
Diseases of the cardiovascular system
Female
Humans
Male
Medical sciences
Middle Aged
Pacemaker, Artificial - adverse effects
Platelet Aggregation - physiology
Platelet Aggregation Inhibitors - therapeutic use
Platelet Function Tests
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Thromboembolism - etiology
Thromboembolism - prevention & control
title Acute and chronic phase platelet aggregability studies in Chinese patients after implantation of a permanent transvenous pacemaker
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