Platelet Function and Plasma Fibrinogen and their Relations to Gender, Smoking Habits, Obesity and Beta-Blocker Treatment in Young Survivors of Myocardial Infarction

Ulf Berglund; Lars Wallentin; Henning von Schenck

doi:10.1055/s-0038-1647627

Thrombosis and Haemostasis, Table of Contents

Thromb Haemost 1988; 60(01): 021-024
DOI: 10.1055/s-0038-1647627

Original Article

Schattauer GmbH Stuttgart

Platelet Function and Plasma Fibrinogen and their Relations to Gender, Smoking Habits, Obesity and Beta-Blocker Treatment in Young Survivors of Myocardial Infarction

Ulf Berglund

The Department of Internal Medicine, University Hospital, Linköping, Sweden

,

Lars Wallentin

The Department of Internal Medicine, University Hospital, Linköping, Sweden

,

Henning von Schenck

^*The Department of Clinical Chemistry, University Hospital, Linköping, Sweden

› Author Affiliations

Abstract

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Summary

Seventy-three (58 men and 15 women) survivors of myocardial infarction below 45 years of age and 73 healthy matched controls were investigated regarding in vitro platelet aggregability to ADP and collagen, platelet sensitivity to prostacyclin and plasma levels of beta-thromboglobulin, platelet factor 4 and fibrinogen. The patients, studied 3-6 months after the acute event, had a reduced platelet sensitivity to prostacyclin. They did not differ from the controls regarding the other platelet function tests. Females had higher platelet reactivity than men. Smoking, obesity or beta- blocker treatment did not influence platelet function. The patients had higher fibrinogen levels than the controls. Gender did not influence, while smoking and obesity increased plasma fibrinogen. Patients on beta-blockade had lower fibrinogen levels than patients without this therapy. The high fibrinogen level and the low platelet sensitivity to prostacyclin might indicate an increased thrombotic liability in young myocardial infarction patients.

Key words

Platelet function - Platelet sensitivity to prostacyclin - Fibrinogen - Myocardial infarction - Beta-blocker treatment

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References

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