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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
12
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pubmed:dateCreated |
1986-9-17
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pubmed:abstractText |
The dose-dependent inhibition of platelet aggregation by the chemically stable, prostacyclin-mimetic, iloprost, was studied in patients suffering from stage II-III peripheral arterial obliterative disease (PAOD). The study was designed as a randomized placebo-controlled cross-over trial. Iloprost was administered i.v. to six patients at doses of 0.5, 1.0, 2.0 or 3.0 ng/kg X min for 4 h, with an interval of 2-3 days between the infusions. During iloprost infusion, systolic and diastolic arterial blood pressure, heart rate and blood flow in the affected limb remained unchanged. In contrast, there was a considerable, dose-dependent inhibition of ADP- and thrombin-induced platelet aggregation and secretion ex vivo at doses of 0.5-2.0 ng/kg X min iloprost, indicating that iloprost reduced platelet stimulation by 50%-70%. The antiplatelet action of iloprost remained unchanged during infusion but ceased with 2 h after administration had ended. The agent was tolerated by the patients without unacceptable side-effects at doses up to 2 ng/kg X min. It is concluded that iloprost administered i.v. at doses of 1-2 ng/kg X min in patients with stage II-III PAOD does not involve haemodynamic side-effects and might be considered an effective antiplatelet agent.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0023-2173
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
16
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pubmed:volume |
64
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
545-51
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:2426514-Adult,
pubmed-meshheading:2426514-Aged,
pubmed-meshheading:2426514-Arterial Occlusive Diseases,
pubmed-meshheading:2426514-Cardiovascular Agents,
pubmed-meshheading:2426514-Dose-Response Relationship, Drug,
pubmed-meshheading:2426514-Drug Evaluation,
pubmed-meshheading:2426514-Epoprostenol,
pubmed-meshheading:2426514-Female,
pubmed-meshheading:2426514-Hemodynamics,
pubmed-meshheading:2426514-Humans,
pubmed-meshheading:2426514-Iloprost,
pubmed-meshheading:2426514-Male,
pubmed-meshheading:2426514-Middle Aged,
pubmed-meshheading:2426514-Platelet Aggregation,
pubmed-meshheading:2426514-Random Allocation,
pubmed-meshheading:2426514-Time Factors
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pubmed:year |
1986
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pubmed:articleTitle |
Antiplatelet effects of intravenous iloprost in patients with peripheral arterial obliterative disease. A placebo-controlled dose-response study.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
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