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European Journal of Heart Failure 2004 6(1):47-54; doi:10.1016/S1388-9842(03)00038-2
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© 2004 European Society of Cardiology

Determinants of platelet responsiveness to nitric oxide in patients with chronic heart failure

R.A. Andersona,*, G.R. Ellisb, Y.Y. Chirkovc, A.S. Holmesc, N. Paynea, D.J. Blackmana, S.K. Jacksona, M.J. Lewisa, J.D. Horowitzc and M.P. Frenneauxa

a Wales Heart Research Institute University of Wales College of Medicine, Cardiff, Wales, UK
b Department of Cardiology Royal Glamorgan Hospital, Llantrisant, Rhondda Cynon Taf, Wales, UK
c Department of Cardiology Queen Elizabeth Hospital, University of Adelaide, Adelaide, Australia

* Corresponding author. Wales Heart Research Institute, Health Park, Cardiff, Wales, UK CF14 4XN. Tel.: +44-02920-618625; fax.: +44-02920-743739. E-mail address: raanderson{at}ukgateway.net


   Abstract

Congestive heart failure (CHF) is associated with oxidative stress. Platelet responsiveness to nitric oxide (NO) donors, are impaired in patients with angina pectoris, possibly by increasing oxidative stress. We investigated the occurrence of platelet resistance to NO in patients, with ischaemic or non-ischaemic cardiomyopathy compared with normal subjects. Anti-aggregatory effects of sodium nitroprusside (SNP), oxidative stress and whole blood superoxide anion content were determined, with correlates of responsiveness to SNP. Inhibition of platelet aggregation by SNP was 65.4±3.55% in controls and 59.3±4.1% in CHF (P=ns) despite increased oxidative stress and post-aggregation O2 in CHF patients. However, subsets of CHF patients have NO-resistant platelets: this is associated with increasing age and/or increased oxidative stress (both p<0.05).

Key Words: Heart failure • Platelets • Free radicals

Received June 19, 2002; Revised November 11, 2002; Accepted January 23, 2003


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