Aspirin and clopidogrel resistance Possible mechanisms and clinical relevance. Part I: Concept of resistance /

Aspirin and clopidogrel are well established as antiplatelet medication in the treatment of atherothrombotic vascular disease. However, despite treatment, a substantial number of patients experience recurrent ischemic episodes, referred to as aspirin or clopidogrel treatment failure. Various laborat...

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Bibliographic Details
Main Authors: Vadász Dávid
Sztriha László Krisztián
Sas Katalin
Vécsei László
Format: Article
Published: Orvos-Egészségügyi Dolgozók Szakszervezete 2012
Series:IDEGGYOGYASZATI SZEMLE-CLINICAL NEUROSCIENCE 65 No. 11-12
mtmt:2233348
Online Access:http://publicatio.bibl.u-szeged.hu/9884
Description
Summary:Aspirin and clopidogrel are well established as antiplatelet medication in the treatment of atherothrombotic vascular disease. However, despite treatment, a substantial number of patients experience recurrent ischemic episodes, referred to as aspirin or clopidogrel treatment failure. Various laboratory techniques are available with which to evaluate the effectiveness of antiplatelet drugs. Interestingly, the agreement between the results of the different tests may be poor. The term aspirin or clopidogrel resistance denotes those conditions in which an inadequate inhibitory efficacy of the given antiplatelet agent is detected by an in vitro assay of platelet function. It has been estimated that on average some 30% of patients treated with aspirin, and 20% on clopidogrel, do not achieve an appropriate level of efficacy as concerns platelet activity.
Physical Description:377-385
ISSN:0019-1442