A simple, rapid and automated method to detect spontaneous and induced platelet clump with a hematology analyzer-basic and clinical studies-

  • SHIMIZU Mie
    Department of Oriental Medicine and Center for Complementary and Alternative Medicine, Tokai University School of Medicine
  • KOHARA Saori
    Department of Neurology, Tokai University School of Medicine
  • YAMAMOTO Masahiro
    Yokohama Stroke and Brain Center
  • SHINOHARA Yukito
    Center for Stroke and Neurological Diseases, Tokai University Tokyo Hospital

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Other Title
  • Hematology Analyzerを用いた血小板自然および惹起凝集塊検出法―基礎的および臨床的検討―
  • A simple, rapid and automated method to detect spontaneous and induced platelet clump with a hematology analyzer
  • — basic and clinical studies —
  • ―基礎的および臨床的検討―

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Abstract

Background and Purpose: In order to evaluate platelet activation, we developed a simple and rapid method to detect clumps (aggregates) of platelets using a hematology analyzer. The purpose of this study is to undertake basic evaluation and to investigate the clinical usefulness of our newly modified method. Method: The measurements were done on EDTA-whole blood and citrated whole blood from patients with cerebral infarction, and from non-cerebrovascular disease (CVD) patients with or without risk factors for vascular diseases. The blood cell counts and scattergrams of platelets and white blood cells were displayed rapidly and automatically. Results: Platelet clumps were not observed in the citrated whole blood of healthy subjects. When the aggregation-inducing drugs were added to the citrated whole blood of healthy subjects, the platelets clumped dose-dependently. The appearance of platelet clumps was well correlated with ADP-induced aggregation and epinephrine-induced aggregation measured by a laser-scattering method. Aggregation was observed in 27 of 39 non-CVD patients with risk factors and 37 of 76 patients with cerebral infarction. Conclusion: The newly modified method using a hematology analyzer is useful for detecting platelet activation in vivo.

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