Mm. Iomhair et Sm. Lavelle, EFFECT OF ASPIRIN-DIPYRIDAMOLE AND HEPARIN AND THEIR COMBINATION ON VENOUS THROMBOSIS IN HYPERCOAGULABLE OR THROMBOTIC ANIMALS, Thrombosis research, 82(6), 1996, pp. 479-483
Epsilon-amino-caproic acid (EACA) induces a clinically-useful anti-hae
morrhagic, mildly thrombotic state while ellagic acid (EA) induces a s
evere hypercoagulable one. Reversal of these states may on occasion be
necessary. The effectiveness of the antiplatelet drugs, aspirin and d
ipyridamole (ASA/D), in reducing thrombus weight was studied in normoc
oagulable animals and animals made hypercoagulable with EACA (333 mg/k
g) or EA (1.2 mg/kg). Heparin (114 iu/kg) was tested in the EACA group
, both alone and in combination with ASA/D. Thrombogenicity was measur
ed by weight formed on intravenous platinum wire in one hour. In normo
coagulable animals, ASA/D reduced thrombus by 32%. Ellagic acid treble
d mean thrombus weight and ASA/D reduced this by 49%, but did not rest
ore normality. EACA increased mean thrombosis by one sixth. Treatment
with heparin reduced this by 48% to a level well below that of untreat
ed animals. Addition of a single dose of aspirin/dipyridamole to the h
eparin regime, reduced thrombosis by a further 31%, reaching to 21% of
control thrombus. The results were statistically significant. Kaolin-
activated blood clotting time was shortened by EA, but EACA had little
effect on it, while ASA/D slightly and heparin markedly lengthened it
.