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Increased platelet activation and fibrinogen in Asian Indians. Potential implications for coronary risk
Quantitative Health Sciences Publications and Presentations
  • Jerome H. Markovitz, University of Alabama
  • K. Kulkarni, University of Alabama
  • P. Goldschmidt-Clermont, Johns Hopkins University
  • Catarina I. Kiefe, University of Massachusetts Medical School
  • P. Rustagi, University of Alabama
  • Padmini Sekar, University of Alabama
  • N. Nanda, University of Alabama
UMMS Affiliation
Department of Quantitative Health Sciences
Publication Date
Document Type
Adult; Coronary Disease; Cross-Cultural Comparison; Female; Fibrinogen; Humans; India; Male; Middle Aged; Platelet Activation; Risk Factors

AIMS: To determine whether Asian Indians (Indians), a group known to have high rates of coronary heart disease, have increased platelet activation and fibrinogen levels relative to white Americans of European origin (whites).

METHODS AND RESULTS: Forty healthy, non-smoking Indians, aged 25-45, were matched with 40 healthy whites for age (within 3 years) and gender. Platelet activation was tested in blood exiting a bleeding time wound at 1 and 2 min post-incision (wound-induced activation), as well as in venous blood stimulated in vitro with collagen, using whole blood flow cytometry. Other risk factors, including fibrinogen levels, family history of diabetes or coronary heart disease, fasting insulin and lipid levels, and Lp(a) were also assessed. Fibrinogen levels were higher among Indians than whites, even after adjustment for gender or family history of coronary heart disease (P < 0.05). Indians had higher levels of wound-induced glycoprotein IIb/IIIa binding and platelet secretion (P-selectin expression) than whites, with the greatest differences found when comparing the upper quintile of activation for each group (Ps < 0.05). Indians with a family history of coronary heart disease (n = 15) had higher levels of platelet secretion (wound-induced and in vitro) than Indians without a family history (Ps < 0.05), while the relationship was reversed among whites. Platelet activation measures were not consistently related to other coronary risk factors, while fibrinogen was related to triglyceride and insulin levels among Indians.

CONCLUSION: Indians have elevated fibrinogen and platelet activation levels relative to whites. These factors may contribute to the increased coronary risk observed in Indians.

Eur Heart J. 1998 May;19(5):720-6.
PubMed ID
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Citation Information
Jerome H. Markovitz, K. Kulkarni, P. Goldschmidt-Clermont, Catarina I. Kiefe, et al.. "Increased platelet activation and fibrinogen in Asian Indians. Potential implications for coronary risk" Vol. 19 Iss. 5 (1998) ISSN: 0195-668X (Linking)
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