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Dual antiplatelet therapy in the drug-eluting stent era
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, UCR-Uppsala Clinical Research Center.
2008 (English)In: European Heart Journal, Supplement, ISSN 1520-765X, E-ISSN 1554-2815, Vol. 10, no D, D38-D44 p.Article in journal (Refereed) Published
Abstract [en]

Data continue to accumulate showing that implantation of coronary stents, particularly drug-eluting stents (DES), is associated with persistent, long-term risk of thrombotic events. Dual antiplatelet therapy with aspirin and clopidogrel has reduced the risk of early and late thrombosis. However, early risk persists due to implantation, stent-related factors, and suboptimal response to clopidogrel, whereas late risk persists due not only to these factors, but to the limited duration of dual antiplatelet therapy as well. Third-generation oral P2Y(12) antagonists that exhibit faster onset of action and greater and more consistent inhibition of platelet aggregation than clopidogrel include the new thienopyridine prasugrel and the reversible P2Y(12) inhibitor AZD6140. Prospective, randomized, Long-term trials are warranted to investigate the benefits and risks of more effective P2Y(12) antagonists as part of dual antiplatelet therapy after both bare-metal stent and DES implantation.

Place, publisher, year, edition, pages
2008. Vol. 10, no D, D38-D44 p.
Keyword [en]
AZD6140, clopidogrel, drug-eluting stent, PCI, P2Y(12) antagonists
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-150098DOI: 10.1093/eurheartj/sun011ISI: 000256056900006OAI: oai:DiVA.org:uu-150098DiVA: diva2:406434
Available from: 2011-03-25 Created: 2011-03-25 Last updated: 2012-07-13Bibliographically approved

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Wallentin, Lars
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