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Blood viscosity in ocular hypertension.

Blood viscosity and its determinants were measured in 27 patients with primary open-angle glaucoma, 15 patients with ocular hypertension and 18 healthy control subjects matched for sex, blood pressure and smoking habits. The mean blood viscosity value was significantly higher in the glaucoma group than in the two other groups at all three shear rates studied; there was no difference in viscosity between the hypertension group and the control group. The mean hematocrit value was significantly lower in the hypertension group than in the two other groups. The results suggest that blood viscosity may contribute to nerve damage in patients with primary open-angle glaucoma. The low hematocrit observed in the patients with ocular hypertension may, by contributing to low viscosity, in some measure protect this group from optic nerve damage.

Blood Viscosity↗

Hemodynamic functions and blood viscosity in surface hypothermia.

Hemodynamic functions and blood viscosity changes in hypothermia (core approximately 25 degrees C) were studied in 14 pentobarbital-anesthetized dogs subjected to surface cooling. The viscosity of blood (eta B) increased progressively to 173% of that at 37 degrees C when body temperature was lowered to 25 degrees C. The increase in blood viscosity was caused by: a) the direct effect of low temperature on plasma viscosity, b) hemoconcentration as a result of plasma loss, and c) the low-flow (low-shear) state induced by hypothermia. A larger portion of the increased viscosity was caused by the low-flow state in hypothermia. The systemic flow resistance (SFR) increased to 271% of control, and this was attributable about equally to the increases in blood viscosity and systemic vascular hindrance (SFR/eta B). Similarly, the viscosity of blood contributed significantly to raising the pulmonary flow resistance. The relative constancy of mixed venous O2 saturation suggests that the cardiac output at low body temperature is generally adequate to meet the metabolic needs.

Animals↗

Does iron deficiency in treated polycythemia vera affect whole blood viscosity?

The relation between whole blood viscosity and iron status was studied in 11 patients with polycythemia vera (PV) who were treated with venesection without iron supplementation. Six were already iron deficient at the start of the study, five were followed from normal iron status to deficiency. Iron status was investigated with serum ferritin, erythrocyte protoporphyrin, mean cell volume and mean cell hemoglobin. There was no correlation between whole blood viscosity at a fixed erythrocyte volume fraction of 44% and any of these variables. The mean whole blood viscosity during iron deficiency and during normal iron state did not differ. Even after several months of iron deficiency there was no increase in whole blood viscosity. It is concluded that iron deficiency in treated PV does not give increased whole blood viscosity.

Anemia, Hypochromic↗

Blood viscosity and plasma viscosity in patients with sudden deafness.

Blood viscosity and plasma viscosity were measured in 51 patients with sudden deafness (SD) and 70 controls with normal hearing. Blood viscosity and plasma viscosity in patients with SD at their first medical examination were significantly higher than in the control group. The difference in viscosimetry results between the two groups was greater at higher shear rates. The data obtained in viscosimetry and pure-tone audiometry were analyzed after dividing the patients into a high viscosity group and a normal viscosity group. The correlation between average hearing level in pure-tone audiogram and blood viscosity or plasma viscosity was positive. The values of the O2-transport capacity of the blood demonstrated a negative correlation with average hearing level in patients with SD before treatment. During the course of treatment, blood viscosity and plasma viscosity decreased with the improvement of hearing impairment. When the distribution of average hearing level was 40 to 79 dB, a few of the patients with "recovery" or "good improvement" and most of patients with "fair improvement" or "no change" belonged to the low viscosity group. And, most of the patients with flat type hearing impairment and a few patients with high tone type hearing impairment belonged to the high viscosity group. These results suggest that many patients with SD have increased blood viscosity and plasma viscosity, and that this increase may play a significant role in the etiology of SD. There are also some differences in etiologic factors concerning type of hearing impairment and prognosis. In conclusion, the present study points to the importance of measuring blood viscosity and plasma viscosity in patients with SD, since blood and/or plasma viscosity may be involved in its etiology and prognosis.

Adult↗

[Comparison of whole blood viscosity in vascular diseases].

The viscosity of whole blood taken from patients suffering from different diseases was studied. The measurements of blood viscosity were performed in the shear rate range 0.01-100 s-1 in three groups of patients. The first group consisted of 60 patients without known cardiovascular disorders referred for a non-vascular minor surgery (patients did not take any drugs influencing vascular system). The second group (30 persons) consisted of patients after cerebral ischemic episode, remaining under permanent medical control. The third group consisted of 100 patients after myocardial infarction. In the group of patients suffering from vascular system disorders (second and third) the blood viscosity has been significantly lower then in the first group. Such results might suggest that in patients with vascular system disorders blood viscosity has been decreased in the way of specific feedback mechanism, whereas the beneficial hemorrheological influence of secondary prevention seems to be questionable.

Aged↗

Association of hypertension with blood viscosity in diabetes.

Plasma and whole blood viscosity and its determinants were measured in 86 diabetic patients (29 hypertensive and 57 normotensive) and compared with 52 non-diabetic control subjects to assess whether hypertension has an additive and adverse effect on blood viscosity. Whole blood viscosity (corrected for haematocrit), at high and low shear rates (95 and 0.95 s-1), was significantly higher in both Type 1 (5.1 +/- 0.5 (+/- SD), 19.8 +/- 2.9) and Type 2 (5.2 +/- 0.3, 21.1 +/- 2.0) diabetic patients compared with control subjects (4.9 +/- 0.6, 17.4 +/- 2.6 mPa s, p less than 0.01). Corrected whole blood viscosity at high shear rate was significantly higher in hypertensive than in normotensive Type 2 diabetic patients (5.5 +/- 0.4 vs 5.2 +/- 0.3 mPa s, p less than 0.01). Plasma viscosity was significantly higher in diabetic patients compared with control subjects (1.4 +/- 0.1 vs 1.3 +/- 0.1 mPa s, p less than 0.01), but there was no difference between hypertensive and normotensive diabetic patients (1.4 +/- 0.1 vs 1.4 +/- 0.2 mPa s). Fibrinogen levels were similar in all the groups.

Adult↗

Effects of long-term tobacco smoke exposure on whole blood viscosity in the rat.

The purpose of this study was to determine the effect of long-term tobacco smoke administration to rats on whole blood viscosity. Blood samples obtained from rats that had been administered tobacco smoke daily for a period of 10 wk and samples from normal cage control rats were placed in a cone-plate viscometer. Whole blood viscosities were measured at shear rates ranging from 23 to 230/sec. At every shear rate tested, blood viscosity from the smoke-treated animals was significantly higher than corresponding viscosities from the control rats. It is concluded that chronic tobacco smoke administration to rats increases the viscosity of whole blood, both at high shear rates where blood behaves rheologically as a Newtonian fluid and at low shear rates where blood displays non-Newtonian properties.

Animals↗

Postprandial change in canine blood viscosity.

1. Postprandial variation in blood viscosity was studied in beagle dogs. 2. Blood viscosity increased following feeding. This change was caused by haematocrit elevation, which resulted mainly from splenic contraction. 3. Haemoconcentration, plasma viscosity and erythrocyte deformability did not contribute to the postprandial increment in blood viscosity.

Animals↗

[Influence of isoxsuprine HCl on blood viscosity].

A decrease of blood viscosity is a working principle in the therapy of severe disorders of arterial blood flow. Isoxsuprine-HCl was found effective in lowering the blood viscosity when given intravenously in a dose of 30 mg over 60 min. This effect derives probably from a decrease of the tendency to aggregate and an increase of the flexibility of red blood cells. 30 min after termination of the infusion this effect has its maximum and 60 min later still is significantly raised.

Blood Viscosity↗

Distribution of blood viscosity values and biochemical correlates in healthy adults.

OBJECTIVE: Increase in the viscosity of blood predict clinical manifestation of atherothrombotic vascular disease. The clinical utility of viscosity measurements in cardiovascular risk factor requires a reference value established from a healthy disease free population. METHODS: Blood viscosity (based on empirical Merill's formula), fibrinogen, haematocrit and lipid profile were measured in 100 fasting healthy nonsmoking adults (50 men, 50 women). RESULTS: The mean (+/- SD) blood viscosity values were 0.030 +/- 0.015 dyne/cm2. Men had higher viscosity values than women. Also, men had higher triglycerides, haematocrit as well as fibrinogen as compared to women. CONCLUSION: This study provides reference values for the blood viscosity, fibrinogen haematocrit and lipid profile. Viscosity measurements may improve identification and risk stratification of patients at high risk for atherothrombotic vascular disease and its complications.

Adult↗

On-line electrical impedance measurement for monitoring blood viscosity during on-pump heart surgery.

BACKGROUND: The viscosity of blood (eta) as well as its electrical impedance at 20 kHz at high shear rate depends on hematocrit, temperature, concentration of macromolecules and red cell deformability. The aim of our study was to investigate the relation between viscosity and electrical impedance in a heart-lung machine-like set-up, because during on-pump heart surgery considerable viscosity changes occur. METHODS: Blood of 10 healthy volunteers was examined under temperature variation between 18.5 and 37 degrees C at four different levels of hemodilution. Blood viscosity was examined with a golden-standard technique, i.e. a Contraves LS 30 Couette viscometer, and the results were compared with measurements of the electrical resistivity (R) at 20 kHz by a specially designed device in series with the tubing system of a heart-lung machine. All measurements were performed at a shear rate of 87 s(-1). RESULTS: Using stepwise multiparameter regression analysis (SPSS) a highly significant correlation was found (r(2) = 0.882) between viscosity (eta) and resistivity (R). Adding the variables sodium ([Na(+)]) and fibrinogen ([Fibr]) concentration the coefficient of correlation further improved to r(2) = 0.928 and the relation became: eta = -0.6844 + 0.038 R + 0.038 [Na(+)] + 0.514 [Fibr]. All coefficients showed a statistical significance of p < 0. 001. CONCLUSIONS: Electrical impedance measurement is feasible in a heart-lung machine-like set-up and allows accurate continuous on-line estimation of blood viscosity; it may offer an adequate way to record and control viscosity changes during on-pump heart surgery.

Adult↗

Increased blood viscosity in diabetic proliferative retinopathy.

Blood rheology and haemostasis were assessed in 18 diabetics with proliferative retinopathy and in 18 diabetics without proliferative retinopathy, matched for age, sex, smoking habit and type, duration and treatment of diabetes. Proliferative retinopathy was associated with significantly higher levels of blood viscosity at high and low shear rates, which were related to higher levels of plasma viscosity and fibrinogen. Blood urea, glucose, glycosylated haemoglobin and white cell count were also significantly higher, whereas haematocrit, red cell deformability and several other haematological and biochemical variables did not differ significantly in the 2 groups. In view of these findings, and of our recent demonstration that increased blood viscosity also exists in those patients with retinal vein occlusion who develop a similar proliferative retinopathy, we suggest that hyperviscosity may contribute to retinal ischaemia and hence proliferative retinopathy.

Adult↗

Temperature dependence of blood viscosity in frogs and turtles: effect on heat exchange with environment.

The temperature dependence of the viscosity of blood from frogs and turtles has been assessed for temperatures between 5 and 40 degrees C. Viscosity of turtles' blood was, on average, reduced from 3.50 +/- 0.16 to 2.13 +/- 0.10 cP between 10 and 30 degrees C, a decline of 39%. Even larger changes in viscosity were observed for frogs' blood with viscosity falling from 4.55 +/- 0.32 to 2.55 +/- 0.25 cP over the same temperature range, a change of 44%. Blood viscosity was highly correlated with hematocrit in both species at all temperatures. Viscosity of blood from both frogs and turtles showed a large standard deviation at all temperatures and this was attributed to large individual-to-individual variations in hematocrit. Turtles heat faster than they cool, regardless of whether tests are performed at temperatures above or below the range of thermal preference. The effect of temperature dependence of blood viscosity on heating and cooling rates is demonstrated.

Animals↗

Effect of nifedipine on oxygen delivery in patients with angina pectoris: relation between blood viscosity and hematocrit.

The effect of nifedipine on blood viscosity and hematocrit was investigated. Blood was sampled from eight patients with angina pectoris (mean age: 59 +/- 8 yr) treated with nifedipine (20-30 mg/day) for 5 months. Using a cone-plate type viscometer, blood viscosity was determined at the shear rates of 37.5 and 375 sec-1 at 37 degrees C. Hematocrit was also measured at the same time. Since the ratio of hematocrit to blood viscosity at a shear rate of 375 sec-1 can be considered to reflect oxygen delivery, this ratio (oxygen delivery index) was also calculated. Blood viscosity at a shear rate of 37.5 sec-1 was significantly (P less than .05) decreased by nifedipine treatment, but hematocrit and the blood viscosity at a shear rate of 375 sec-1 were not changed. The oxygen delivery index, however, was significantly (P less than .01) increased after the administration of nifedipine. These results suggest that oxygen delivery increased by the treatment with nifedipine and inhibited erythrocyte aggregation by decreasing blood viscosity at low shear rate.

Aged↗