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Platelet function monitoring in patients with coronary artery disease
Authors:Gurbel Paul A  Becker Richard C  Mann Kenneth G  Steinhubl Steven R  Michelson Alan D
Institution:Sinai Center for Thrombosis Research, Sinai Hospital of Baltimore, Baltimore, Maryland, USA.
Abstract:Studies focused on patient responsiveness to antiplatelet therapies, particularly aspirin and clopidogrel, have increased in recent years. However, the relations of in vivo platelet function and adverse clinical events to results of ex vivo platelet function tests remain largely unknown. This article describes current methods of measuring platelet function in various clinical and research situations and their advantages and disadvantages, reviews evidence for antiplatelet response variability and resistance, discusses the potential pitfalls of monitoring platelet function, and demonstrates emerging data supporting the positive clinical and treatment implications of platelet function testing.
Keywords:ACS  acute coronary syndromes  CAD  coronary artery disease  COX  cyclooxygenase  GP  glycoprotein  INR  international normalized ratio  LTA  light transmittance aggregometry  MACE  major adverse cardiac events  MI  myocardial infarction  PCI  percutaneous coronary intervention  VASP  vasodilator-stimulated phosphoprotein
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