Prolonged paradoxical effect of aspirin on platelet behaviour and bleeding time in man

A single high dose of aspirin(3.9 g orally) was administered to subjects and the time course of the effects on bleeding time, platelet aggregation and platelet production of thromboxane A 2 was followed over a period of one week. Two hours after treatment the bleeding time remained unchanged althoug...

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Veröffentlicht in:Thrombosis research 1979, Vol.16 (1), p.69-79
Hauptverfasser: Amezcua, J.L., O'Grady, J., Salmon, J.A., Moncada, S.
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container_end_page 79
container_issue 1
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container_title Thrombosis research
container_volume 16
creator Amezcua, J.L.
O'Grady, J.
Salmon, J.A.
Moncada, S.
description A single high dose of aspirin(3.9 g orally) was administered to subjects and the time course of the effects on bleeding time, platelet aggregation and platelet production of thromboxane A 2 was followed over a period of one week. Two hours after treatment the bleeding time remained unchanged although marked inhibition of the platelet functions and thromboxane A 2 release were detected. Twenty-four and 72 hours after aspirin the bleeding time was substantially increased, returning to normal levels 1 week after treatment. This suggests that shortly after aspirin treatment the production of prostacyclin and thromboxane A2 were blocked. As the recovery of the endothelial cyclo-oxygenase proceeded faster than that of the platelet enzyme the balance prostacyclin/thromboxane A 2 was changed in favour of prostacyclin 24 and 72 h after the treatment, thus explaining the increased bleeding time and its slow recovery over one week.
doi_str_mv 10.1016/0049-3848(79)90270-6
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adult
Aspirin - pharmacology
Bleeding Time
Blood Platelets - drug effects
Collagen - pharmacology
Dose-Response Relationship, Drug
Female
Humans
Male
Partial Thromboplastin Time
Platelet Aggregation - drug effects
Salicylates - blood
Thromboxane A2 - biosynthesis
Time Factors
title Prolonged paradoxical effect of aspirin on platelet behaviour and bleeding time in man
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