Platelet aggregation pattern on light transmission aggregometry among Malaysian healthy individuals

Introduction: Platelet aggregation test using light transmission aggregometry (LTA) is considered as the gold standard for evaluation of platelet function. Variations of platelet aggregation had been reported in apparently healthy individuals whereby a normal cut–off value established locally is h...

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Main Authors: Muhsin, Azlina, Mohd Tohit, Eusni Rahayu, Md Noor, Sabariah, Abdul Karim, Faraizah
Format: Article
Language:English
Published: Faculty of Medicine and Health Sciences, University Putra Malaysia 2020
Online Access:http://psasir.upm.edu.my/id/eprint/87203/1/2020110610554905_2020_0236.pdf
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author Muhsin, Azlina
Mohd Tohit, Eusni Rahayu
Md Noor, Sabariah
Abdul Karim, Faraizah
author_facet Muhsin, Azlina
Mohd Tohit, Eusni Rahayu
Md Noor, Sabariah
Abdul Karim, Faraizah
author_sort Muhsin, Azlina
collection UPM
description Introduction: Platelet aggregation test using light transmission aggregometry (LTA) is considered as the gold standard for evaluation of platelet function. Variations of platelet aggregation had been reported in apparently healthy individuals whereby a normal cut–off value established locally is highly recommended. This study aims to determine the platelet aggregation pattern and the preliminary findings on reference values for multiple agonists–induced platelet aggregation among Malaysian healthy individuals in a single centre. Method: A total number of 63 informed consented healthy individuals consisted of Malay, Chinese and Indian were recruited among staff and blood donors at National Blood Centre, Kuala Lumpur. Platelet aggregation was measured using LTA against adenosine diphosphate 10 µM (ADP10), collagen 0.19 mg/mL (COL), ristocetin 1.5 mg/mL (RIS), arachidonic acid 1 mM (AA) and epinephrine 10 µM (EPI). Results were expressed as percent final aggregation (%FA). Reference values were calculated from mean±2SD. Results: Age, gender and ethnic groups had no significant effect on platelet aggregation. A variability of platelet aggregation response to EPI was observed among the healthy individuals. Ten of 33 respondents (30%) had impaired aggregation with <20% FA in response to EPI. The local population showed a slightly higher aggregation pattern in response to COL, RIS, AA and EPI (excluding non-responders) compared to manufacturer’s reference values. Conclusion: This study has provided a glimpse of the aggregation pattern of the local nationality showing considerable differences in the reference values from manufacturer’s; thus highlighting the need of establishing local reference values.
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spelling upm.eprints-872032022-01-13T09:23:25Z http://psasir.upm.edu.my/id/eprint/87203/ Platelet aggregation pattern on light transmission aggregometry among Malaysian healthy individuals Muhsin, Azlina Mohd Tohit, Eusni Rahayu Md Noor, Sabariah Abdul Karim, Faraizah Introduction: Platelet aggregation test using light transmission aggregometry (LTA) is considered as the gold standard for evaluation of platelet function. Variations of platelet aggregation had been reported in apparently healthy individuals whereby a normal cut–off value established locally is highly recommended. This study aims to determine the platelet aggregation pattern and the preliminary findings on reference values for multiple agonists–induced platelet aggregation among Malaysian healthy individuals in a single centre. Method: A total number of 63 informed consented healthy individuals consisted of Malay, Chinese and Indian were recruited among staff and blood donors at National Blood Centre, Kuala Lumpur. Platelet aggregation was measured using LTA against adenosine diphosphate 10 µM (ADP10), collagen 0.19 mg/mL (COL), ristocetin 1.5 mg/mL (RIS), arachidonic acid 1 mM (AA) and epinephrine 10 µM (EPI). Results were expressed as percent final aggregation (%FA). Reference values were calculated from mean±2SD. Results: Age, gender and ethnic groups had no significant effect on platelet aggregation. A variability of platelet aggregation response to EPI was observed among the healthy individuals. Ten of 33 respondents (30%) had impaired aggregation with <20% FA in response to EPI. The local population showed a slightly higher aggregation pattern in response to COL, RIS, AA and EPI (excluding non-responders) compared to manufacturer’s reference values. Conclusion: This study has provided a glimpse of the aggregation pattern of the local nationality showing considerable differences in the reference values from manufacturer’s; thus highlighting the need of establishing local reference values. Faculty of Medicine and Health Sciences, University Putra Malaysia 2020-11 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/87203/1/2020110610554905_2020_0236.pdf Muhsin, Azlina and Mohd Tohit, Eusni Rahayu and Md Noor, Sabariah and Abdul Karim, Faraizah (2020) Platelet aggregation pattern on light transmission aggregometry among Malaysian healthy individuals. Malaysian Journal of Medicine and Health Sciences, 16 (suppl. 9). 33 - 37. ISSN 2636-9346 https://medic.upm.edu.my/upload/dokumen/2020110610554905_2020_0236.pdf
spellingShingle Muhsin, Azlina
Mohd Tohit, Eusni Rahayu
Md Noor, Sabariah
Abdul Karim, Faraizah
Platelet aggregation pattern on light transmission aggregometry among Malaysian healthy individuals
title Platelet aggregation pattern on light transmission aggregometry among Malaysian healthy individuals
title_full Platelet aggregation pattern on light transmission aggregometry among Malaysian healthy individuals
title_fullStr Platelet aggregation pattern on light transmission aggregometry among Malaysian healthy individuals
title_full_unstemmed Platelet aggregation pattern on light transmission aggregometry among Malaysian healthy individuals
title_short Platelet aggregation pattern on light transmission aggregometry among Malaysian healthy individuals
title_sort platelet aggregation pattern on light transmission aggregometry among malaysian healthy individuals
url http://psasir.upm.edu.my/id/eprint/87203/1/2020110610554905_2020_0236.pdf
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AT abdulkarimfaraizah plateletaggregationpatternonlighttransmissionaggregometryamongmalaysianhealthyindividuals