PMID- 18260867 OWN - NLM STAT- MEDLINE DCOM- 20081211 LR - 20181201 IS - 0022-9040 (Print) IS - 0022-9040 (Linking) VI - 47 IP - 6 DP - 2007 TI - [Von Willebrand factor and soluble P-selectin in patients with non ST-Elevation acute coronary syndrome during treatment with glycoprotein IIb/IIIa antagonist eptifibatide]. PG - 4-9 AB - Soluble P-selectin (marker of activation of platelets) and von Willebrand factor (marker of activation of endothelium) were measured in 44 patients with non ST-Elevation acute coronary syndrome (NSTEACS) 21 of whom received glycoprotein IIb/IIIa antagonist eptifibatide (two 180 mg/kg boluses with 10 min interval followed by infusion of 2 mcg/kg/min during first 24 hours and 1.3 mcg/kg/min during subsequent 48 hours). Measurements were made within first 2 hours, in 2--3 and 10--14 days after development of NSTEACS. During first 2 hours P-selectin content was 1.6 times higher than in healthy donors, but in 2--3 and 10--14 days after onset of NSTEACS it did not differ from normal values. Contrary to P-selectin value of von Willebrand factor was elevated both during first 2 hours (1.3 times) and in 2--3 days (2 times) compared with healthy donors. Some elevation of von Willebrand factor (1.2 times) persisted after 10--14 days after development of NSTEACS. The results obtained have shownd that elevated activity of endothelium persists at least for 2--3 days after onset of NSTEACS, while activity of platelets during this period decreases. In none of temporal points there have been revealed differences in contents of P-selectin and von Willebrand factor between groups of patients receiving and not receiving glycoprotein IIb/IIIa antagonists. No differences were also found between these parameters in groups of patients favorable and unfavorable outcomes (myocardial infarction, angina recurrence) of the disease during 30 days of follow-up. FAU - Mazaev, A A AU - Mazaev AA FAU - Naimushin, Ia A AU - Naimushin IaA FAU - Khaspekova, S G AU - Khaspekova SG FAU - Golubeva, N V AU - Golubeva NV FAU - Ruda, M Ia AU - Ruda MIa FAU - Mazurov, A V AU - Mazurov AV LA - rus PT - Comparative Study PT - Journal Article PL - Russia (Federation) TA - Kardiologiia JT - Kardiologiia JID - 0376351 RN - 0 (P-Selectin) RN - 0 (Peptides) RN - 0 (Platelet Aggregation Inhibitors) RN - 0 (Platelet Glycoprotein GPIIb-IIIa Complex) RN - 0 (von Willebrand Factor) RN - NA8320J834 (Eptifibatide) SB - IM MH - Acute Coronary Syndrome/*blood/drug therapy/physiopathology MH - Dose-Response Relationship, Drug MH - *Electrocardiography MH - Endothelium, Vascular/metabolism MH - Eptifibatide MH - Follow-Up Studies MH - Humans MH - Immunoenzyme Techniques MH - Infusions, Intravenous MH - P-Selectin/*blood MH - Peptides/administration & dosage/*therapeutic use MH - Platelet Aggregation Inhibitors/administration & dosage/*therapeutic use MH - Platelet Glycoprotein GPIIb-IIIa Complex/*antagonists & inhibitors MH - Treatment Outcome MH - von Willebrand Factor/*metabolism EDAT- 2008/02/12 09:00 MHDA- 2008/12/17 09:00 CRDT- 2008/02/12 09:00 PHST- 2008/02/12 09:00 [pubmed] PHST- 2008/12/17 09:00 [medline] PHST- 2008/02/12 09:00 [entrez] PST - ppublish SO - Kardiologiia. 2007;47(6):4-9.