Advertisement
Research Article| Volume 2, ISSUE 1, P22-25, 1992

Nimodipine and the evolution of hemorheological variables after acute ischemic stroke

      This paper is only available as a PDF. To read, Please Download here.
      We studied the effects of the calcium channel antagonist nimodipine on the evolution of hemorheological variables during the first 3 weeks following ischemic stroke. We studied 13 patients and found that, compared to baseline levels, plasma fibrinogen concentration and low-shear whole-blood viscosity rose significantly in patients receiving placebo but not in those receiving nimodipine. Red blood cell aggregation rose in both groups but less so in nimodipine-treated patients. Hematocrit, high-shear whole-blood viscosity, and red blood cell deformability did not change significantly in either group. In conclusion, the use of nimodipine appears to alter the evolution of some hemorheological variables following acute ischemic stroke.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Stroke and Cerebrovascular Diseases
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Wood JH
        • Kee DB
        Hemorheology of the cerebral circulation in stroke.
        Stroke. 1985; 16: 765-772
        • Gaehtgens P
        • Marx P
        Hemorheological aspects of the pathophysiology of cerebral ischemia.
        J Cereb Blood Flow Metab. 1987; 7: 259-265
        • Tanahashi N
        • Gotoh F
        • Tomita M
        • et al.
        Enhanced erythrocyte aggregability in occlusive cerebrovascular disease.
        Stroke. 1989; 20: 1202-1207
        • Coull BM
        • Beamer N
        • de Garmo P
        • et al.
        Chronic blood hyperviscosity in subjects with acute stroke, transient ischemic attack, and risk factors for stroke.
        Stroke. 1991; 22: 162-168
        • Fisher M
        • Meiselman HJ
        Hemorheological alterations in cerebral ischemia.
        Stroke. 1991; 22: 1164-1169
        • Tu YK
        • Heros RC
        • Candia G
        • et al.
        Isovolemic hemodilution in experimental focal cerebral ischemia. Part 1 : effects on hemodynamics, hemorheology, and intracranial pressure.
        J Neurosurg. 1988; 69: 72-81
        • Tu YK
        • Heros RC
        • Karacostas D
        • et al.
        Isovolemic hemodilution in experimental focal cerebral ischemia. Part 2: effects on regional cerebral blood flow and size of infarction.
        J Neurosurg. 1988; 69: 82-91
        • Korosue K
        • Ishida K
        • Matsuoka H
        • Nagao T
        • Tamaki N
        • Matsumoto S
        Clinical, hemodynamic, and hemorheological effects of isovolemic hemodilution in acute cerebral infarction.
        Neurosurgery. 1988; 23: 148-153
        • Sakuta S
        Blood filtrability in cerebrovascular disorders, with special reference to erythrocyte deformability and ATP content.
        Stroke. 1981; 12: 824-828
        • Mercuri M
        • Ciuffetti G
        • Robinson M
        • Toole J
        Blood cell rheology in acute cerebral infarction.
        Stroke. 1989; 20: 959-962
        • Pollock SS
        • Harrison MJG
        Red cell deformability is not an independent risk factor in stroke.
        J Neurol Neurosurg Psychiatry. 1982; 45: 369-371
        • Fisher M
        • Giannotta S
        • Meiselman HJ
        Hemorheological alterations in patients with subarachnoid hemorrhage.
        Clin Hemorheol. 1987; 7: 611-618
        • Allen GS
        • Ahn HS
        • Preziosi TJ
        • et al.
        Cerebral arterial spasm—a controlled trial of nimodipine in patients with subarachnoid hemorrhage.
        N Engl J Med. 1983; 308: 619-624
        • Pickard JD
        • Murray GD
        • Illingworth R
        • et al.
        Effect of oral nimodipine on cerebral infarction and outcome after subarachnoid hemorrhage: British aneurysm nimodipine trial.
        Br Med J. 1989; 298: 636-642
        • Gelmers HJ
        • Gorter K
        • De Weerdt CJ
        • Wiezer HJA
        A controlled trial of nimodipine in acute ischemic stroke.
        N Engl J Med. 1988; 318: 203-207
        • Rainer C
        • Kawanishi DT
        • Chandraratna AN
        • et al.
        Changes in blood rheology in patients with stable angina pectoris as a result of coronary artery disease.
        Circulation. 1987; 76: 15-20
        • Bull BS
        • Brailsford JD
        The zeta sedimentation ratio.
        Blood. 1972; 40: 550-559
        • Bauersachs RM
        • Wenby RB
        • Meiselman HJ
        Determination of specific red blood cell aggregation indices via an automated system.
        Clin Hemorheol. 1989; 9: 1-25
        • Koutsouris D
        • Guillet R
        • Wenby RB
        • Meiselman HJ
        Determination of erythrocyte transit times through micropores. II) Influence of experimental and physico-chemical factors.
        Biorheology. 1989; 26: 881-898
        • Dinarello CA
        Interleukin-1 and the pathogenesis of the acute-phase response.
        N Engl J Med. 1984; 311: 1413-1418
        • Kishimoto T
        The biology of interleukin-6.
        Blood. 1989; 74: 1-10
        • International Committee for Standardization in Haematology (Expert panel on blood rheology)
        Guidelines on selection of laboratory tests for monitoring the acute phase response.
        J Clin Pathol. 1988; 41: 1203-1212
        • Elliott FA
        • Buckell M
        Fibrinogen changes in relation to cerebrovascular accidents.
        Neurology. 1961; 11: 120-124
        • Van Neuten JM
        • De Clerck F
        Vascular reactivity and calcium entry blockers.
        Adv Cyclic Nucleu Prot Phosph Res. 1984; 17: 575-583
        • Striessnig J
        • Zernig G
        • Glossman H
        Human red-blood-cell Ca-antagonist binding sites.
        Eur J Biochem. 1985; 150: 67-77
        • Brooks DE
        • Evans EA
        Rheology of blood cells.
        in: Chien S Dormandy J Ernst E Matrai A Clinical hemorheology. Martinus Nijhoff, Dordrecht, The Netherlands1987: 73-96