GODSCHALK, T. C., R. A. BYRNE, T. ADRIAENSSENS, N. MALIK, L. J. FELDMAN, G. GUAGLIUMI, F. ALFONSO, F. J. NEUMANN, D. TRENK, M. JONER, C. SCHULZ, P. G. STEG, A. H. GOODALL, R. WOJDYLA, D. DUDEK, J. J. WYKRZYKOWSKA, Ota HLINOMAZ, A. G. ZAMAN, N. CURZEN, J. DENS, P. SINNAEVE, W. DESMET, A. H. GERSHLICK, A. KASTRATI, S. MASSBERG and J. M. TEN BERG. Observational Study of Platelet Reactivity in Patients Presenting With ST-Segment Elevation Myocardial Infarction Due to Coronary Stent Thrombosis Undergoing Primary Percutaneous Coronary Intervention Results From the European PREvention of Stent Thrombosis by an Interdisciplinary Global European Effort Registry. JACC - Cardiovascular Interventions. New York: Elsevier Science Inc., 2017, vol. 10, No 24, p. 2548-2556. ISSN 1936-8798. Available from: https://dx.doi.org/10.1016/j.jcin.2017.09.019.
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Basic information
Original name Observational Study of Platelet Reactivity in Patients Presenting With ST-Segment Elevation Myocardial Infarction Due to Coronary Stent Thrombosis Undergoing Primary Percutaneous Coronary Intervention Results From the European PREvention of Stent Thrombosis by an Interdisciplinary Global European Effort Registry
Authors GODSCHALK, T. C. (528 Netherlands), R. A. BYRNE (276 Germany), T. ADRIAENSSENS (56 Belgium), N. MALIK (826 United Kingdom of Great Britain and Northern Ireland), L. J. FELDMAN (250 France), G. GUAGLIUMI (380 Italy), F. ALFONSO (724 Spain), F. J. NEUMANN (276 Germany), D. TRENK (276 Germany), M. JONER (276 Germany), C. SCHULZ (276 Germany), P. G. STEG (250 France), A. H. GOODALL (826 United Kingdom of Great Britain and Northern Ireland), R. WOJDYLA (616 Poland), D. DUDEK (616 Poland), J. J. WYKRZYKOWSKA (528 Netherlands), Ota HLINOMAZ (203 Czech Republic, belonging to the institution), A. G. ZAMAN (826 United Kingdom of Great Britain and Northern Ireland), N. CURZEN (826 United Kingdom of Great Britain and Northern Ireland), J. DENS (56 Belgium), P. SINNAEVE (56 Belgium), W. DESMET (56 Belgium), A. H. GERSHLICK (826 United Kingdom of Great Britain and Northern Ireland), A. KASTRATI (276 Germany), S. MASSBERG (276 Germany) and J. M. TEN BERG (528 Netherlands, guarantor).
Edition JACC - Cardiovascular Interventions, New York, Elsevier Science Inc. 2017, 1936-8798.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30201 Cardiac and Cardiovascular systems
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 9.881
RIV identification code RIV/00216224:14110/17:00113800
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1016/j.jcin.2017.09.019
UT WoS 000418483200014
Keywords in English aspirin; platelet aggregation; platelet function tests; P2Y(12) receptor antagonists; stent thrombosis
Tags rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 27/4/2020 13:18.
Abstract
OBJECTIVES High platelet reactivity (HPR) was studied in patients presenting with ST-segment elevation myocardial infarction (STEMI) due to stent thrombosis (ST) undergoing immediate percutaneous coronary intervention (PCI). BACKGROUND HPR on P2Y12 inhibitors (HPR-ADP) is frequently observed in stable patients who have experienced ST. The HPR rates in patients presenting with ST for immediate PCI are unknown. METHODS Consecutive patients presenting with definite ST were included in a multicenter ST registry. Platelet reactivity was measured before immediate PCI with the VerifyNow P2Y12 or Aspirin assay. RESULTS Platelet reactivity was measured in 129 ST patients presenting with STEMI undergoing immediate PCI. HPR-ADP was observed in 76% of the patients, and HPR on aspirin (HPR-AA) was observed in 13% of the patients. HPR rates were similar in patients who were on maintenance P2Y12 inhibitor or aspirin since stent placement versus those without these medications. In addition, HPR-ADP was similar in patients loaded with a P2Y12 inhibitor shortly before immediate PCI versus those who were not. In contrast, HPR-AA trended to be lower in patients loaded with aspirin as compared with those not loaded. CONCLUSIONS Approximately 3 out of 4 ST patients with STEMI undergoing immediate PCI had HPR-ADP, and 13% had HPR-AA. Whether patients were on maintenance antiplatelet therapy while developing ST or loaded with P2Y12 inhibitors shortly before undergoing immediate PCI had no influence on the HPR rates. This raises concerns that the majority of patients with ST have suboptimal platelet inhibition undergoing immediate PCI. (C) 2017 by the American College of Cardiology Foundation.
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