TY - JOUR
T1 - Emergence of the concept of platelet reactivity monitoring of response to thienopyridines
AU - Bonello, L.
AU - De Labriolle, A.
AU - Scheinowitz, M.
AU - Lemesle, G.
AU - Roy, P.
AU - Steinberg, D. H.
AU - Pinto Slottow, T. L.
AU - Pakala, R.
AU - Pichard, A. D.
AU - Barragan, P.
AU - Camoin-Jau, L.
AU - Dignat-George, F.
AU - Paganelli, F.
AU - Waksman, R.
PY - 2009/8
Y1 - 2009/8
N2 - Clinical trials have demonstrated the beneficial impact of clopidogrel in preventing major adverse cardiovascular events (MACE), particularly in patients undergoing percutaneous coronary intervention (PCI). The concept of biological clopidogrel resistance emerged with the finding of persistent platelet activation despite clopidogrel therapy in some patients. Further, a link between biological clopidogrel resistance and thrombotic recurrence after PCI was observed and a threshold of platelet reactivity (PR) for thrombotic events was suggested. Consistently, in recent trials, enhanced PR inhibition translated into a reduction in the rate of MACE after PCI. This review aims to present the emergence of the concept of PR monitoring in patients undergoing PCI following recent advances in this field.
AB - Clinical trials have demonstrated the beneficial impact of clopidogrel in preventing major adverse cardiovascular events (MACE), particularly in patients undergoing percutaneous coronary intervention (PCI). The concept of biological clopidogrel resistance emerged with the finding of persistent platelet activation despite clopidogrel therapy in some patients. Further, a link between biological clopidogrel resistance and thrombotic recurrence after PCI was observed and a threshold of platelet reactivity (PR) for thrombotic events was suggested. Consistently, in recent trials, enhanced PR inhibition translated into a reduction in the rate of MACE after PCI. This review aims to present the emergence of the concept of PR monitoring in patients undergoing PCI following recent advances in this field.
UR - http://www.scopus.com/inward/record.url?scp=67650738747&partnerID=8YFLogxK
U2 - 10.1136/hrt.2008.152660
DO - 10.1136/hrt.2008.152660
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AN - SCOPUS:67650738747
SN - 1355-6037
VL - 95
SP - 1214
EP - 1219
JO - Heart
JF - Heart
IS - 15
ER -