Clinical observation of clopidogrel-resistance in patients undergoing percutaneous coronary intervention with clopidogrel
Wang Hong
Abstract
Wang Hong
Abstract
AIM To examine the platelet aggregation and the prevalence of clopidogrel-resistance among patients undergoing percutaneous coronary intervention (PCI). METHODS Thirty-seven patients with acute coronary symptom (ACS) who underwent PCI were treated with clopidogrel (300 mg,loading dose,followed with 75 mg/d). Platelet aggregation function was assessed before and 2,4,6,24,48 h and 30 d after clopidogrel treatment. RESULTS The ratio of clopidogrel resistance were 62%,46%,32%,38%,49% and 43% at different times,platelet inhibition was much lower in clopidogrel resistants than responders,and subacute in-stent thrombosis occurred in one patient with clopidogrel resistance. CONCLUSION Clopidogrel-resistance may occur in some patients undergoing percutaneous coronary intervention.
A significance statement is not available in the OpenAlex record.
A contribution statement is not available in the OpenAlex record.
Method details are not available in the OpenAlex metadata.
Findings are not separately available in the OpenAlex metadata.
Limitations are not available in the OpenAlex metadata.
Application details are not available in the OpenAlex metadata.
AIM To examine the platelet aggregation and the prevalence of clopidogrel-resistance among patients undergoing percutaneous coronary intervention (PCI). METHODS Thirty-seven patients with acute coronary symptom (ACS) who underwent PCI were treated with clopidogrel (300 mg,loading dose,followed with 75 mg/d). Platelet aggregation function was assessed before and 2,4,6,24,48 h and 30 d after clopidogrel treatment. RESULTS The ratio of clopidogrel resistance were 62%,46%,32%,38%,49% and 43% at different times,platelet inhibition was much lower in clopidogrel resistants than responders,and subacute in-stent thrombosis occurred in one patient with clopidogrel resistance. CONCLUSION Clopidogrel-resistance may occur in some patients undergoing percutaneous coronary intervention.
Key concepts: Clopidogrel, Percutaneous coronary intervention, Medicine, Conventional PCI, Internal medicine, Cardiology, Platelet, Loading dose