Thixotropic effect of some biochemical factors in ischeaemic stroke.

Background. Yield shear stress (YSS) well characterizes the thixotropic status of blood, that exemplifi es a reversible loss of blood fluidity due to a low shear rate. At the stable haematocrit ratio YSS depends mainly on the fi brinogen level. Aim. Since the role of other biochemical factors in the YSS phenomenon in cerebral ischaemia has not been well known, we have undertaken this problem in a group of stroke patients. Material and Methods. The study was carried out in 36 patients with acute ischaemic stroke and in 12 controls. YSS was estimated by means of microviscometric method. In all subjects the concentration of the following biochemical factors were assayed: albumin, IgG, IgA, IgM, apolipoprotein A, and B, cholesterol, triglycerides, LDL, HDL and fi brinogen. Then the thixotroipic effect of all biochemical factors and their correlations to fi brinogen were estimated by means of mathematical formulas. Results. We found a positive correlation in relation to the following thixotropic effects: for all subjects and separately for patients' group: Alb(YSS) (p < 0.001), ApoA(YSS) (p < 0.001), ApoB(YSS) (p < 0.05), chol(YSS) (p < 0.01), HDL(YSS) (p < 0.05); for patients group without additional diseases: Alb(YSS) (p < 0.05), ApoA(YSS) (p < 0.005), chol(YSS) (p < 0.05), HDL(YSS) (p < 0.02), LDL(YSS) (p < 0.05). There were not any signifi cant correlations in controls. Conclusion. Results of the study indicated that in the interaction between the red cells and fi brinogen some additional factors appearing or activating during ischaemic process may play a role. [ABSTRACT FROM AUTHOR]