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DOI: 10.1055/s-0037-1613804
Randomized, Placebo-controlled, Blinded and Cross-matched Study on the Antiplatelet Effect of Inhaled Nitric Oxide in Healthy Volunteers
Publikationsverlauf
Received
03. Juni 1999
Accepted after revision
10. Oktober 1999
Publikationsdatum:
11. Dezember 2017 (online)
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Summary
The platelet inhibitory effect of 0-40 ppm inhaled nitric oxide (NO) was investigated in healthy men and women. In both groups, ADPand collagen-induced platelet aggregation was significantly inhibited 20 (T20) and 40 min (T40) after the beginning of inhalation of 5, 10, and 40 ppm. Moreover, in both men and women, the in vitro bleeding time was significantly prolonged at T20 and T40 during inhalation of 40 ppm. Inhalation of NO also inhibited P-selectin expression at 5, 10, and 40 ppm and fibrinogen binding to the GPIIb/IIIa-receptor at 40 ppm. In conclusion, in healthy volunteers, the platelet inhibitory effect of inhaled NO was not dose-related, since it was significant at 5 and 10 ppm but did not increase during the administration of higher NO concentrations. In addition, gender-related differences were only observed in ADP-induced platelet aggregation at 10 ppm and in bleeding time prolongation at 40 ppm.
Keywords
Platelets - aggregation - bleeding time - P-selectin expression - fibrinogen binding - inhaled nitric oxide* Presented in part at the German Congress of Anesthesiology, Frankfurt, Germany, July 4 1998.
** Supported by a grant from the Deutsche Forschungsgemeinschaft (DFG; GR1765/1-2).
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