Impact of body size on platelet function in patients with acute coronary syndrome on dual antiplatelet therapy.


Journal

Vascular pharmacology
ISSN: 1879-3649
Titre abrégé: Vascul Pharmacol
Pays: United States
ID NLM: 101130615

Informations de publication

Date de publication:
10 2022
Historique:
received: 17 05 2022
revised: 14 07 2022
accepted: 16 07 2022
pubmed: 24 7 2022
medline: 14 10 2022
entrez: 23 7 2022
Statut: ppublish

Résumé

Patients undergoing acute percutaneous coronary intervention receive dual antiplatelet therapy for secondary prevention. Recurrent myocardial infarction or bleedings are possibly due to under- or overdosing of antiplatelet therapy in relation to body size. We correlated residual platelet aggregation with body mass index, body surface area, lean body mass and blood volume in 220 patients on prasugrel (n = 121) or ticagrelor (n = 99). Platelet aggregation outside the recommended window was recorded in 85 patients, but not correlated with any of the body indices. Body size does not affect platelet response to prasugrel or ticagrelor at the guideline-recommended fixed dosages.

Identifiants

pubmed: 35870771
pii: S1537-1891(22)00138-0
doi: 10.1016/j.vph.2022.107089
pii:
doi:

Substances chimiques

Platelet Aggregation Inhibitors 0
Purinergic P2Y Receptor Antagonists 0
Prasugrel Hydrochloride G89JQ59I13
Ticagrelor GLH0314RVC

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

107089

Informations de copyright

Copyright © 2022 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors of this manuscript have nothing to declare.

Auteurs

Benjamin Panzer (B)

Department of Internal Medicine II, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria; Sigmund Freud University, Medical School, Freudplatz 1, 1020 Vienna, Austria.

Patricia P Wadowski (PP)

Department of Internal Medicine II, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria.

Kurt Huber (K)

Sigmund Freud University, Medical School, Freudplatz 1, 1020 Vienna, Austria; 3rd Department of Medicine, Cardiology and Intensive Care Medicine, Wilhelminenhospital, Montleartstraße 37, 1160 Vienna, Austria.

Simon Panzer (S)

Department of Blood Group Serology and Transfusion Medicine, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria.

Thomas Gremmel (T)

Department of Internal Medicine II, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria; Institute of Antithrombotic Therapy in Cardiovascular Disease, Karl Landsteiner Society, Franziskanergasse 4a, 3100 St. Pölten, Austria; Department of Internal Medicine I, Cardiology and Intensive Care Medicine, Landesklinikum Mistelbach-Gänserndorf, Liechtensteinstraße 67, 2130 Mistelbach, Austria. Electronic address: thomas.gremmel@meduniwien.ac.at.

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Classifications MeSH