Ticagrelor
2015; Lippincott Williams & Wilkins; Volume: 27; Issue: 2 Linguagem: Inglês
10.1097/mbc.0000000000000406
ISSN1473-5733
AutoresMatej Samoš, Marián Fedor, František Kovář, Lukáš Duraj, Lucia Stančiaková, Péter Galajda, Ján Staško, Peter Kubisz, Marián Mokáň,
Tópico(s)Lipoproteins and Cardiovascular Health
ResumoStent thrombosis is a morbid complication following percutaneous coronary intervention (PCI). Dual antiplatelet therapy significantly reduces stent thrombosis risk. However, the antiplatelet response to clopidogrel – the most frequently used ADP receptor antagonist in post-PCI patients – varies among individuals. High on-treatment platelet reactivity was repeatedly associated with the risk of stent thrombosis. Ticagrelor is a novel ADP receptor blocker that has shown greater, more rapid and more consistent platelet inhibition than clopidogrel. This agent offers a unique mechanism of action, no relevant pharmacological interactions, consistent platelet inhibition, and a good safety profile. This article reviews the prospective use of ticagrelor in the treatment of stent thrombosis in acute coronary syndrome patients undergoing PCI of culprit coronary lesion.
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