Increase in Erythrocyte Disaggregation Shear Stress in Hypertension

The aggregation and disaggregation behaviors of red blood cells were investigated in 17 nonnotensive and 21 hypertensive subjects with a laser reflectometry technique, and simultaneous measurements were taken of blood viscosity with a coaxial viscometer. Increased red blood cell aggregation (26%, p...

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Veröffentlicht in:Hypertension (Dallas, Tex. 1979) Tex. 1979), 1992-08, Vol.20 (2), p.247-252
Hauptverfasser: Razavian, Seyed Mahmoud, del Pino, Muriel, Simon, Alain, Levenson, Jaime
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container_title Hypertension (Dallas, Tex. 1979)
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creator Razavian, Seyed Mahmoud
del Pino, Muriel
Simon, Alain
Levenson, Jaime
description The aggregation and disaggregation behaviors of red blood cells were investigated in 17 nonnotensive and 21 hypertensive subjects with a laser reflectometry technique, and simultaneous measurements were taken of blood viscosity with a coaxial viscometer. Increased red blood cell aggregation (26%, p < 0.001) and disaggregation shear rate (20%, p < 0.01) and shear stress (18%, p < 0.01) were observed in hypertensive subjects when compared with nonnotensive subjects. Similar elevations in hypertensive subjects were found when the hematocrit was adjusted to 40%. Variation of red blood cell concentration caused the red blood cell disaggregation shear rate to change in an opposite direction but did not modify red blood cell aggregability and disaggregation shear stress. The increase of the reversible aggregation of red blood cells was associated with higher fibrinogen and plasma protein concentrations in hypertension. An increase in red blood cell aggregability and in the shear resistance of red blood cell aggregates may play a role in the development of the cardiovascular complication in hypertension. The quantification of red blood cell disaggregation shear stress, which represents the hydrodynamic force required to disperse the aggregates, may provide a useful parameter for clinical investigations.
doi_str_mv 10.1161/01.HYP.20.2.247
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Increased red blood cell aggregation (26%, p &lt; 0.001) and disaggregation shear rate (20%, p &lt; 0.01) and shear stress (18%, p &lt; 0.01) were observed in hypertensive subjects when compared with nonnotensive subjects. Similar elevations in hypertensive subjects were found when the hematocrit was adjusted to 40%. Variation of red blood cell concentration caused the red blood cell disaggregation shear rate to change in an opposite direction but did not modify red blood cell aggregability and disaggregation shear stress. The increase of the reversible aggregation of red blood cells was associated with higher fibrinogen and plasma protein concentrations in hypertension. An increase in red blood cell aggregability and in the shear resistance of red blood cell aggregates may play a role in the development of the cardiovascular complication in hypertension. 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source MEDLINE; American Heart Association Journals; EZB-FREE-00999 freely available EZB journals; Journals@Ovid Complete
subjects Adult
Arterial hypertension. Arterial hypotension
Biological and medical sciences
Blood and lymphatic vessels
Blood Proteins - analysis
Blood Viscosity
Cardiology. Vascular system
Clinical manifestations. Epidemiology. Investigative techniques. Etiology
Erythrocyte Aggregation
Fibrinogen - analysis
Hematocrit
Humans
Hypertension - blood
Hypertension - physiopathology
Kinetics
Medical sciences
Reference Values
Stress, Mechanical
title Increase in Erythrocyte Disaggregation Shear Stress in Hypertension
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