Mean platelet volume and high-residual platelet reactivity in patients receiving dual antiplatelet therapy with clopidogrel or ticagrelor

作者: Monica Verdoia , Patrizia Pergolini , Roberta Rolla , Matteo Nardin , Lucia Barbieri

DOI: 10.1517/14656566.2015.1056151

关键词: Acute coronary syndromeCoronary artery diseaseTicagrelorWhole bloodInternal medicinePlateletMean platelet volumeMedicineClopidogrelAnesthesiaCardiologyPopulation

摘要: Objective: High on-treatment platelet reactivity (HRPR) is associated with a two- to ninefold increased risk of recurrent ischemic events among patients receiving dual antiplatelet therapy (DAPT) for coronary artery disease. However, its determinants are still poorly understood. The aim the present study was assess impact mean volume (MPV) on in DAPT after an acute syndrome or PCI.Methods: Patients treated (acetylsalicylic acid [ASA] and clopidogrel ticagrelor) were scheduled function assessment at 30 – 90 days post-discharge. By whole blood impedance aggregometry, HRPR considered ASPI test > 862 aggregation units (AU)*min (for ASA) ADP values ≥ 417 AU*min ADP-antagonists).Results: Our population represented by total 487 DAPT, divided according MPV tertiles (< 10.4 fl; 11.29 11.3 fl). Larger-sized platelets use statins (p < 0.001)...

参考文章(57)
Sunil K. Nadar, Andrew D. Blann, Sridhar Kamath, D.Gareth Beevers, Gregory Y.H. Lip, Platelet indexes in relation to target organ damage in high-risk hypertensive patients: A substudy of the Anglo-Scandinavian Cardiac Outcomes Trial (ASCOT)☆ Journal of the American College of Cardiology. ,vol. 44, pp. 415- 422 ,(2004) , 10.1016/J.JACC.2004.03.067
Stefanie Schulz, Martin Orban, Tanja Morath, Lisena Cala, Petra Hoppmann, Heribert Schunkert, Karl-Ludwig Laugwitz, Adnan Kastrati, Dirk Sibbing, Katharina Mayer, Isabell Bernlochner, Siegmund Braun, Aspirin treatment and outcomes after percutaneous coronary intervention: results of the ISAR-ASPI registry. Journal of the American College of Cardiology. ,vol. 64, pp. 863- 871 ,(2014) , 10.1016/J.JACC.2014.05.049
E. L. GROVE, A.M. HVAS, S. B. MORTENSEN, S. B. LARSEN, S. D. KRISTENSEN, Effect of platelet turnover on whole blood platelet aggregation in patients with coronary artery disease. Journal of Thrombosis and Haemostasis. ,vol. 9, pp. 185- 191 ,(2011) , 10.1111/J.1538-7836.2010.04115.X
G. DE LUCA, F. BELLANDI, K. HUBER, M. NOC, A. S. PETRONIO, H. -R. ARNTZ, M. MAIOLI, H. M. GABRIEL, S. ZORMAN, M. DE CARLO, T. RAKOWSKI, M. GYONGYOSI, D. DUDEK, Early glycoprotein IIb-IIIa inhibitors in primary angioplasty-abciximab long-term results (EGYPT-ALT) cooperation: individual patient's data meta-analysis. Journal of Thrombosis and Haemostasis. ,vol. 9, pp. 2361- 2370 ,(2011) , 10.1111/J.1538-7836.2011.04513.X
Maurits T. Dirksen, Christian Spaulding, Henning Kelbæk, Martin Schalij, Leif Thuesen, Bas van der Hoeven, Marteen A. Vink, Christoph Kaiser, Carmine Musto, Tania Chechi, Gaia Spaziani, Luis Salvador Diaz de la Llera, Vincenzo Pasceri, Emilio Di Lorenzo, Roberto Violini, Harry Suryapranata, Gregg W. Stone, Giuseppe De Luca, , Time course, predictors and clinical implications of stent thrombosis following primary angioplasty. Insights from the DESERT cooperation. Thrombosis and Haemostasis. ,vol. 110, pp. 826- 833 ,(2013) , 10.1160/TH13-02-0092
M. VIDALI, R. ROLLA, M. PARRELLA, C. CASSANI, M. MANZINI, M. R. PORTALUPI, R. SERINO, M. D. PRANDO, G. BELLOMO, P. PERGOLINI, Role of the laboratory in monitoring patients receiving dual antiplatelet therapy. International Journal of Laboratory Hematology. ,vol. 34, pp. 484- 494 ,(2012) , 10.1111/J.1751-553X.2012.01428.X
ERKAN Coban, M Ozdogan, G Yazicioglu, Ferhat Akçit, None, The mean platelet volume in patients with obesity. International Journal of Clinical Practice. ,vol. 59, pp. 981- 982 ,(2005) , 10.1111/J.1742-1241.2005.00500.X
Joseph A. Jakubowski, Craig B. Thompson, Raymond Vaillancourt, C. Robert Valeri, Daniel Deykin, Arachidonic acid metabolism by platelets of differing size British Journal of Haematology. ,vol. 53, pp. 503- 511 ,(1983) , 10.1111/J.1365-2141.1983.TB02052.X
Dimitrios Alexopoulos, Ioanna Xanthopoulou, Robert F. Storey, Kevin P. Bliden, Udaya S. Tantry, Dominick J. Angiolillo, Paul A. Gurbel, Platelet reactivity during ticagrelor maintenance therapy: A patient-level data meta-analysis American Heart Journal. ,vol. 168, pp. 530- 536 ,(2014) , 10.1016/J.AHJ.2014.06.026