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Атеротромбоз

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ОБОРОТ ТРОМБОЦИТОВ И АТЕРОТРОМБОЗ

https://doi.org/10.21518/2307-1109-2017-2-131-141

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Аннотация

Тромбоциты играют ведущую роль в инициации атеротромбоза – образования внутрисосудистых тромбов в участках атеросклеротическом повреждении сосудов. Функциональная (протромботическая) активность тромбоцитов существенным образом варьирует как у здоровых лиц, так и у пациентов с сердечно-сосудистыми заболеваниями. Одной из причин повышения активности тромбоцитов может быть ускорение их продукции и оборота. При стимуляции тромбоцитопоэза в кровотоке появляются крупные и ретикулярные (с повышенным количеством РНК) «молодые» тромбоциты. Эти тромбоциты содержат больше адгезивных рецепторов, больше секреторных гранул и обладают повышенной способностью к агрегации. В обзоре приводятся данные, указывающие на то, что крупные и ретикулярные тромбоциты являются не только маркерами, но и предикторами атеротромботических событий, и в первую очередь острого коронарного синдрома. Увеличение количества таких тромбоцитов у больных, получающих антитромбоцитарные препараты, ассоциировано со снижением эффективности их антиагрегантного действия. Предполагается, что появление крупных и ретикулярных тромбоцитов в крови больных с атеросклерозом и атеротромбозом может быть следствием повышения тромбопоэтической активности мегакариоцитов при этих патологических состояниях.

Об авторе

А. В. МАЗУРОВ
Научный медицинский исследовательский центр кардиологии Минздрава России
Россия
д.м.н., профессор


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Для цитирования:


МАЗУРОВ А.В. ОБОРОТ ТРОМБОЦИТОВ И АТЕРОТРОМБОЗ. Атеротромбоз. 2017;(2):131-141. https://doi.org/10.21518/2307-1109-2017-2-131-141

For citation:


MAZUROV A.V. PLATELET TURNOVER AND ATHEROTHROMBOSIS. Atherothrombosis. 2017;(2):131-141. (In Russ.) https://doi.org/10.21518/2307-1109-2017-2-131-141

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