Folia Medica Indonesiana
ISSN 0303-7932
Vol. 49 / No. 3 / Published : 2013-07
Order : 6, and page :163 - 167
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Original Article :
Comparison of platelet anti aggregation effect on acute thrombotic stroke with diabetes melitus and non-dibetes melitus
Author :
- Adeltrudis Adelsa*1
- Siti Sjamsiah*2
- Mohammad Saiful Islam*3
- Faculty of Pharmacy, Airlangga University
- Dosen Fakultas Farmasi
- Dosen Fakultas Kedokteran
Abstract :
Stroke was the highest cause of death and disability of all ages (15.4%) in Indonesia based on RISKESDAS 2007. Thrombotic strokeis one of ischemic stroke that had prevalence of 58.3%. Acetosal/ASA is one of anti-platelet which has been used widely as secondaryprevention for stroke meanwhile, diabetic melitus (DM) was one of the risk factor. Anti-aggregation platelet effect was measured byLight Transmission Aggregometry (LTA). The test had been done twice, before and after ASA usage for 7-10 days. 24 patients thatwere involved, hospitalized for acute thrombotic stroke at least 7-10 days, 15 from non-diabetic group and 9 from diabetic group.The results showed that there is no significant difference in demographic and risk factors for those patients (X2 test, p>0.05). Theaggregation percentage were analyzed statistically by pair t-test for pre-and post-within group, and independent t-test to comparethose two groups. The aggregation percentage of diabetic patients (n=9) was 11-48% (pre) and 7-43% (post). Meanwhile, theaggregation percentage of non-diabetic patients (n=15) was 13-64% (pre) and 13-39% (post). The usage of ASA 1 x 100 mg gave alowering aggregation percentage (t<0,05). For the comparison between diabetic and non-diabetic patients with acute thromboticstroke, there were no difference (p>0,05). It can be concluded that there were no difference on anti-platelet aggregation of ASAbetween diabetic and non diabetic patients with acute thrombotic stroke. For practical purpose, it can be suggested to confirmpercentage aggregation ASA with instrument that applied reliable clinical meaning.(FMI 2013;49:163-167)
Keyword :
acetyl salicylic acid (ASA), diabetic, platelet aggregation, thrombotic, stroke,
References :
Angiolillo DJ,(2009) Antiplatelet therapy in diabetes: efficacy and limitations of current treatment strategies and future directions - : Diabetes Care
DiChiara J, Bliden KP, Tantry US, Hamed MS, Antonino MJ, Suarez TA, Bailon O, Singla A, Gurbel PA,(2007) The effect of aspirin dosing on patelet function in diabetic and nondiabetic patients: an analysis from the aspirin-induced platelet effect (ASPECT) study - : Diabetes
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