›› 2012, Vol. 27 ›› Issue (1): 12-14.

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Significance on the detection of Pselectin on platelet surface before percutaneous coronary intervention

  

  1. 1. Department of Clinical Laboratory, Xiangfan Central Hospital, Xiangfan College, Hubei Xiangfan 441021, China; 2. Department of Cardiology,Xiangfan Central Hospital,Xiangfan College, Hubei Xiangfan 441021,China
  • Online:2012-01-20 Published:2012-01-20

Abstract: Objective To investigate the Pselectin expression on platelet surface and the correlation between platelet Pselectin and platelet aggregation function before percutaneous coronary intervention (PCI).   Methods A total of 51 patients with coronary heart disease undergoing PCI, including 9 cases of ST segment elevation acute coronary syndrome (STE ACS), 36 cases of nonST segment elevation acute coronary syndrome (NSTE ACS) and 6 cases of stable angina(SA), and 14 healthy subjects were as controls. Platelet Pselectin and platelet aggregation function were determined by whole blood flow cytometric assay and light transmittance aggregometry,respectively.  Results There were significant differences in the platelet Pselectin among all groups(F=16.915,P=0.001). STE ACS patients had significantly elevated levels of platelet Pselectin comparing with the other groups(P<0.05). There was no statistical significance among NSTE ACS, SA and control groups. No significant correlation was identified between the platelet Pselectin and adenosine diphosphate and arachidonic acidinduced maximal platelet aggregation (r=0.038,P>0.05; r=0.165,P>  0.05). Conclusions The elevated platelet Pselectin expression is likely correlated with STE ACS. Combining with platelet aggregation test, the detection of platelet Pselectin may be a valid tool to assess posttreatment platelet activity. 

Key words: P-selectin, Platelet function, Percutaneous coronary intervention