About: Severe left ventricular systolic dysfunction is independently associated with high on-clopidogrel platelet reactivity     Goto   Sponge   NotDistinct   Permalink

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  • The purpose of the present study was to investigate the association between left ventricular systolic function and the response to clopidogrel. METHODS: The efficacy of clopidogrel was measured by the vasodilator-stimulated phosphoprotein phosphorylation 20 ± 4 h after 600 mg of clopidogrel. High on-clopidogrel platelet reactivity (HCPR) was defined as a platelet reactivity index (PRI) >=50 %. The 30-day combined incidence of death, non-fatal acute coronary syndrome, re-percutaneous coronary intervention (PCI), stent thrombosis, and stroke was also investigated. RESULTS: The study group consisted of 519 patients undergoing PCI. The values (mean and 95 % confidence interval) of the PRI were as follows: 40.4 % (37.8-43.0) in patients with left ventricular ejection fraction (LVEF) >50 %, 42.4 % (39.3-45.6) in patients with LVEF 35-50 %, and 46.7 % (40.6-52.9) in patients with LVEF <35 % (p = 0.013). The proportions of patients with HCPR were 35.9 % in patients with LVEF >=35 and 51.9 % in patients with LVEF <35 % (p = 0.022). After adjustment for variables that significantly influenced clopidogrel efficacy, LVEF <35 % was found to be independently associated with HCPR (p = 0.039). The 30-day combined clinical endpoint occurred in 18 % of patients with LVEF <35 % and in 7.3 % of patients with LVEF >=35 % (p = 0.026). The 30-day incidence of all-cause mortality was 14 % in patients with LVEF <35 and 1.0 % in patients with LVEF >=35 % (p < 0.001). CONCLUSION: An LVEF <35 % was found to be independently associated with HCPR.
  • The purpose of the present study was to investigate the association between left ventricular systolic function and the response to clopidogrel. METHODS: The efficacy of clopidogrel was measured by the vasodilator-stimulated phosphoprotein phosphorylation 20 ± 4 h after 600 mg of clopidogrel. High on-clopidogrel platelet reactivity (HCPR) was defined as a platelet reactivity index (PRI) >=50 %. The 30-day combined incidence of death, non-fatal acute coronary syndrome, re-percutaneous coronary intervention (PCI), stent thrombosis, and stroke was also investigated. RESULTS: The study group consisted of 519 patients undergoing PCI. The values (mean and 95 % confidence interval) of the PRI were as follows: 40.4 % (37.8-43.0) in patients with left ventricular ejection fraction (LVEF) >50 %, 42.4 % (39.3-45.6) in patients with LVEF 35-50 %, and 46.7 % (40.6-52.9) in patients with LVEF <35 % (p = 0.013). The proportions of patients with HCPR were 35.9 % in patients with LVEF >=35 and 51.9 % in patients with LVEF <35 % (p = 0.022). After adjustment for variables that significantly influenced clopidogrel efficacy, LVEF <35 % was found to be independently associated with HCPR (p = 0.039). The 30-day combined clinical endpoint occurred in 18 % of patients with LVEF <35 % and in 7.3 % of patients with LVEF >=35 % (p = 0.026). The 30-day incidence of all-cause mortality was 14 % in patients with LVEF <35 and 1.0 % in patients with LVEF >=35 % (p < 0.001). CONCLUSION: An LVEF <35 % was found to be independently associated with HCPR. (en)
Title
  • Severe left ventricular systolic dysfunction is independently associated with high on-clopidogrel platelet reactivity
  • Severe left ventricular systolic dysfunction is independently associated with high on-clopidogrel platelet reactivity (en)
skos:prefLabel
  • Severe left ventricular systolic dysfunction is independently associated with high on-clopidogrel platelet reactivity
  • Severe left ventricular systolic dysfunction is independently associated with high on-clopidogrel platelet reactivity (en)
skos:notation
  • RIV/00216208:11120/14:43908414!RIV15-MSM-11120___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I, S
http://linked.open...iv/cisloPeriodika
  • 4
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
http://linked.open.../riv/druhVysledku
http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
http://linked.open...dnocenehoVysledku
  • 44636
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11120/14:43908414
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • Toxicology; Pharmacology; Pharmacotherapy; Cardiology (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • NZ - Nový Zéland
http://linked.open...ontrolniKodProRIV
  • [CC2FF20B2125]
http://linked.open...i/riv/nazevZdroje
  • American Journal of Cardiovascular Drugs
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 14
http://linked.open...iv/tvurceVysledku
  • Widimský, Petr
  • Moťovská, Zuzana
  • Doktorová, Magdalena
  • Ondráková, Martina
http://linked.open...ain/vavai/riv/wos
  • 000344600800006
issn
  • 1175-3277
number of pages
http://bibframe.org/vocab/doi
  • 10.1007/s40256-014-0074-3
http://localhost/t...ganizacniJednotka
  • 11120
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