
PLATELET AGGREGATION IN PATIENTS WITH CORONARY HEART DISEASE AND DEPRESSIVE DISORDERS
Yarmukhamedova Saodat Khabibovna , Samarkand State Medical UniversityAbstract
Platelets play an important role in the process of stopping bleeding in case of damage to the vascular wall and tissues, as well as in the process of intravascular thrombosis. During the implementation of primary platelet-vascular hemostasis (TSH), phases of reactions aimed at the formation of a blood clot are distinguished: adhesion, spreading, release reaction, aggregation and retraction. An important indicator in assessing TSH is the nature of changes in platelet aggregation under the influence of various inducers. Aggregation is rapid and irreversible due to the action of thrombin, adrenaline, adenosine diphosphate (ADP) and ristomycin in certain concentrations. The most reliable methods for assessing TSH are to study the rate and degree of decrease in the optical density of platelet plasma with the addition of aggregation inducers. Platelet aggregation under the action of ADP at a concentration (2.5 mmol/l) and ristomycin (10 mg/ml). ADP-induced aggregation makes it possible to identify a risk group for thrombosis, monitor treatment with disaggregants and confirm the presence of thrombasthenia. The use of this concentration of ADP contributes to the development of complete irreversible aggregation and the lag phase is not observed, and ristomycin-induced aggregation allows us to study the effect of the Willebrandt factor. The aim of the study was to study adenosine diphosphate (ADP)-induced platelet aggregation in patients with coronary heart disease (CHD) with anxiety and depression. It was found that the degree and time of platelet aggregation in individuals with coronary heart disease in combination with anxiety and/or depression were less than in patients with coronary heart disease without mood disorders. The aggregation time was significantly lower in the case of using ADP at a concentration of 1.25 and 2.5 microns. The degree of aggregation was significantly lower in the case of an ADP concentration of 1.25 microns. The results obtained do not support the hypothesis of increased thrombosis in patients with coronary heart disease with anxiety and depressive disorders
Keywords
coronary heart disease, depression, anxiety, platelet aggregation.
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