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Platelets, Hypoxemia and Pulmonary Hypertension

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Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 164))

Abstract

The capacity of hypoxia to induce pulmonary hypertension (PH) in animals and in man has been known for many years (von Euler and Liljestrand, 1974; Motley et al., 1974). Some evidence exists that platelets may undergo changes in function and in number because of an altitude hypoxemia (Sharma et al., 1979; Sharma, 1980). This, together with altitude decompression, may even lead to a pulmonary sequestration of platelets (Gray et al., 1975). Nevertheless, it seems doubtful that platelets significantly contribute to the enhancement of pulmonary vascular resistance induced by hypoxia.

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References

  • Abraham, A.S., Cole, R.B., Bishop, J.M., 1968, Reversal of pulmonary hypertension by prolonged oxygen administration to patients with chronic bronchitis. Circ. Res. 23:147.

    Article  PubMed  CAS  Google Scholar 

  • Blass, K.E., Block, H.U., Förster, W., Pönicke, K., 1980, Dipyridamole, a potent stimulator of Prostacyclin (PGI2) biosynthesis. Br. J. Pharmacol. 68:71.

    Article  PubMed  CAS  Google Scholar 

  • Bø, G., Hognestad, J., 1972, Effects on the pulmonary circulation of suddenly induced intravascular aggregation of blood platelets. Acta Physiol. Scand. 85:523.

    Article  PubMed  Google Scholar 

  • Boysen, P.G., Block, A.J., Wynne, J.W., Hunt, L.A., Flick, M.R., 1979, Nocturnal pulmonary hypertension in patients with chronic obstructive pulmonary disease. Chest 76:536.

    Article  PubMed  CAS  Google Scholar 

  • Dusting, J.D., Moneada, S., Vane, J., 1979, Prostaglandins, their intermediates and precursors: cardiovascular actions and regulatory roles in normal and abnormal circulatory systems. Prog. Cardiovasc. Dis. 21:405.

    Article  PubMed  CAS  Google Scholar 

  • von Euler, V.S., Liljestrand, G., 1947, Observation on the pulmonary arterial blood pressure in the cat. Acta Physiol. Scand. 12:301.

    Article  Google Scholar 

  • Friedman, W.F., Hirschklau, M.G., Printz, M.P., Pitlik, P.T., Kirkpatrick, S.E., 1976, Pharmacological closure of patent ductus arteriosus in the premature infant. N. Engl. J. Med. 295:526.

    Article  PubMed  CAS  Google Scholar 

  • Gray, J.W., Bryan, A.C., Freedman, M.H., Houston, C.S., Lews, W.F., McFadden, D.M., Newell, G., 1975, Effect of altitude exposure on platelets. J. Appl. Physiol. 39:648.

    PubMed  CAS  Google Scholar 

  • Gryglewski, R.J., Korbut, R., Ocetkeiwicz, A., 1978, Generation of prostacyclin by lungs in vivo and its release into the arterial circulation. Nature 273:765.

    Article  PubMed  CAS  Google Scholar 

  • Hales, C.A., Rouse, E.T., Slate, J.L., 1978, Influence of aspirin and indomethacin on variability of alveolar hypoxic vasoconstriction. J. Appl. Physiol. 45:33.

    PubMed  CAS  Google Scholar 

  • Hechtman, H.B., Lonergan, E.A., Staunton, H.P.B., Dennis, R.C., Shepro, D., 1978, Pulmonary entrapment of platelets during acute respiratory failure. Surgery 83:277.

    PubMed  CAS  Google Scholar 

  • Hyman, A.L., Spannhake, E.W., Kadowitz, P.F., 1978, Prostaglandins and the lung. Am. Rev. Resp. Dis. 117:111.

    PubMed  CAS  Google Scholar 

  • Johnson, T.S., Ellis, J.H., Steele, P.P., 1978, Improvement of platelet survival time with oxygen in patients with chronic obstructive airways disease. Am. Rev. Resp. Dis. 117:255.

    PubMed  CAS  Google Scholar 

  • Jorgensen, K.A., Pyerberg, J., Stoffersen, E., 1979, Prostacyclin (PGI2) and the effect of phosphodiesterase inhibitors on platelet aggregation. Pharm. Res. Commun. 11:605.

    Article  CAS  Google Scholar 

  • Kirby, B.J., 1980, Relationship between pulmonary gas exchange and pulmonary hypertension in chronic obstructive lung disease. Bull. Europ. Physiopath. Resp. 16:74.

    Google Scholar 

  • Kjeldsen, K., 1975, The effect of hypoxia on the fine structure of the aortic intima of rabbits. Lab. Invest. 33:533.

    PubMed  CAS  Google Scholar 

  • Levine, B.E., Bigelow, P.B., Hamstra, R.O., et al., 1967, The role of long term continuous oxygen administration in patients with chronic airway obstruction with hypoxemia. Ann. Intern. Med. 66:639.

    PubMed  CAS  Google Scholar 

  • Mlczoch, J., Tucker, A., Weir, E.K., Reeves, J.T., Grover, R.F., 1978, Platelet-mediated pulmonary hypertension and hypoxia during pulmonary microembolism. Reduction by platelet inhibition. Chest 74:684.

    Article  Google Scholar 

  • Moncada, S., Korbut, R., 1978, Dipyridamole and other phosphodiesterase inhibitors act as antithrombotic agents by potentiating endogenous prostacyclin. Lancet 1:1286.

    Article  PubMed  CAS  Google Scholar 

  • Motley, H.L., Cournand, A., Werko, L. et al., 1947, The influence of short periods of induced acute anoxia upon pulmonary artery pressure in man. Am. J. Physiol. 150:315.

    PubMed  CAS  Google Scholar 

  • Nagasaka, Y., Hiroshi, A., Lee, Y.S., et al., 1978, Long-term favourable effect of oxygen administration on a patient with primary pulmonary hypertension. Chest 74:299.

    Article  PubMed  CAS  Google Scholar 

  • Neri Serneri, G.G., Masotti, G., Poggesi, L., Galanti, G., Castellani, S., Dipyridamole stimulates prostacyclin biosynthesis in man and in vitro. In: 6th International Congress on Thrombosis, Mediterranean League Against Thromboembolic Diseases, Monte-Carlo, October 23–25, 1980.

    Google Scholar 

  • O’Brien, J.R., 1980, Platelets and the vessel wall: how much aspirin? Lancet 1:372.

    PubMed  Google Scholar 

  • Person, B., Proctor, R., 1979, Primary pulmonary hypertension: response to indomethacin, terbutaline and isoproterenol. Chest 76:601.

    Article  PubMed  CAS  Google Scholar 

  • Rådegran, K., Bergentz, S.E., Lewis, D.H., Ljungquist, U., Olsson, P., 1971, Pulmonary effects of induced platelet aggregation. Intravascular obstruction or vasoconstriction? Scand. J. Clin. Lab. Invest. 28:423.

    Article  PubMed  Google Scholar 

  • Rickaby, D.A., Dawson, C.A., Maron, M.B., 1980, Pulmonary inactivation of serotonin and site of serotonin pulmonary vasoconstriction. J. Appl. Physiol. 48:606.

    PubMed  CAS  Google Scholar 

  • Rubin, L.J., 1980, The influence of prostaglandin synthesis inhibition on the effects of hydralazine in dogs with hypoxic pulmonary hypertension. Am. Rev. Resp. Dis. 121:444.

    Google Scholar 

  • Rubin, L.J., Peter, R.H., 1978, Oral hydralazine therapy for primary pulmonary hypertension. N. Engl. J. Med. 302:69.

    Article  Google Scholar 

  • Rudolph, A.M., 1978, Effects of prostaglandins and synthetase inhibitors on the fetal circulation. In: Preterm labour, A. Anderson, R. Beard, M. Brudenell, P. Dunn, Eds. Royal College of Obstetricians and Gynaecologists, p. 231–242.

    Google Scholar 

  • Sharma, S.C., 1980, Platelet count on acute induction to high altitude. Thrombos. Haemostas. 43:29.

    Google Scholar 

  • Sharma, S.C., Balasubramanian, V., Chadha, K.S., 1979, Platelet adhesiveness in permanent residents of high altitude. Thrombos. Haemostas. 42:1508.

    Google Scholar 

  • Steele, P., Ellis, J.H., Wiley, H.S., Genton, E., 1977, Platelet survival time in patients with hypoxemia and pulmonary hypertension. Circulation 55:660.

    Article  PubMed  CAS  Google Scholar 

  • Svensson, J., Strandberg, T., Tuveno, T., Hamberg, M., 1977, Thromboxane A2: effects on airway and vascular smooth muscle. Prostaglandins. 14:426.

    Google Scholar 

  • Tremoli, E., Bertoli, L., Maderna, P., Conti, F., Merlini, R., Mantero, O., 1980, Platelet anti-aggregating therapy in chronic obstructive lung disease. Clin. Resp. Physiol. 16:84.

    Google Scholar 

  • Wagenvoort, C.A., Wagenvoort N., 1970, Primary pulmonary hypertension: a pathologic study of the lung vessels in 156 clinically diagnosed cases. Circulation 42:1163.

    Article  Google Scholar 

  • Wang, S.W.S., Pohl, J.E.F., Rowlands, D.J., Wade, E.G., 1978, Diazoxide treatment of primary pulmonary hypertension. Brit. Heart J. 40:572.

    Article  PubMed  CAS  Google Scholar 

  • Watkins, W.D., Peterson, M.B., Crone, R.K., Shannon, D.C., Levine, L., 1980, Prostacyclin and Prostaglandin E1 for severe idiopathic pulmonary artery hypertension. Lancet 1:1083.

    Article  PubMed  CAS  Google Scholar 

  • Weir, E.K., McMurty, I.F., Tucker, A., Reeves, J.T., Grover, R.F., 1976, Prostaglandin synthetase inhibitors do not decrease hypoxic pulmonary vasoconstriction. J. Appl. Physiol. 41:714.

    PubMed  CAS  Google Scholar 

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© 1984 Plenum Press, New York

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Nenci, G.G. (1984). Platelets, Hypoxemia and Pulmonary Hypertension. In: Strano, A. (eds) Thrombosis and Cardiovascular Disease. Advances in Experimental Medicine and Biology, vol 164. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-8616-2_32

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  • DOI: https://doi.org/10.1007/978-1-4684-8616-2_32

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4684-8618-6

  • Online ISBN: 978-1-4684-8616-2

  • eBook Packages: Springer Book Archive

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