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Intensifying Platelet Inhibition With Tirofiban in Poor Responders to Aspirin, Clopidogrel, or Both Agents Undergoing Elective Coronary Intervention
Author(s) -
Marco Valgimigli,
Gianluca Campo,
Nicoletta De Cesare,
Emanuele Meliga,
Pascal Vranckx,
Alessandro Furgieri,
Dominick J. Angiolillo,
Manel Sabaté,
Martial Hamon,
Alessandra Repetto,
Salvatore Colangelo,
Salvatore Brugaletta,
Giovanni Parrinello,
Gianfranco Percoco,
Roberto Ferrari
Publication year - 2009
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.108.833236
Subject(s) - tirofiban , medicine , clopidogrel , aspirin , cardiology , placebo , coronary artery disease , ticlopidine , angioplasty , clinical endpoint , acute coronary syndrome , relative risk , loading dose , platelet , platelet aggregation inhibitor , percutaneous coronary intervention , anesthesia , confidence interval , randomized controlled trial , myocardial infarction , alternative medicine , pathology
Inhibition of platelet aggregation after aspirin or clopidogrel intake varies greatly among patients, and previous studies have suggested that poor response to oral antiplatelet agents may increase the risk of thrombotic events, especially after coronary angioplasty. Whether this reflects suboptimal platelet inhibition per se, which might benefit from more potent antiplatelet agents such as tirofiban, is unknown.

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