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Stroke, Vol 20, 1202-1207, Copyright © 1989 by American Heart Association

ARTICLES

Enhanced erythrocyte aggregability in occlusive cerebrovascular disease

N Tanahashi, F Gotoh, M Tomita, T Shinohara, Y Terayama, B Mihara, K Ohta and M Nara
Department of Neurology, Ashikaga Red Cross Hospital, Japan.

We measured the rate of erythrocyte aggregation using our whole-blood aggregometer in 80 patients with occlusive cerebrovascular disease during the acute and chronic phases. We compared the data with values for 38 age-matched healthy controls. Mean +/- SD erythrocyte aggregability of the patients during both the acute phase (0.145 +/- 0.21/sec, n = 35) and the chronic phase (0.139 +/- 0.21/sec, n = 45) was higher than that in the controls (0.123 +/- 0.21/sec, n = 38; p less than 0.01). Erythrocyte aggregability was positively correlated with the plasma concentration of globulin and fibrinogen and inversely correlated with the albumin:globulin ratio. However, these correlations did not necessarily exclude the possibility that some unknown substance(s) released from ischemic tissue might enhance erythrocyte aggregability.