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Published on: September 5, 2016
Recent developments in the use of antiplatelet agents to prevent cardiovascular events
Stefan Lischke1, David J Schneider
1Cardiology Unit, Department of Medicine & Cardiovascular Research Unit, University of Vermont, Burlington, VT, USA.
Insights
Dual antiplatelet therapy is standard for preventing cardiovascular events. New strategies and drugs are being developed due to ongoing risks and variable patient responses to current treatments.
Area of Science:
- Cardiology
- Pharmacology
- Thrombosis research
Background:
- Platelets play a key role in arterial thrombosis.
- Dual antiplatelet therapy (aspirin and clopidogrel) is the standard for secondary prevention of cardiovascular events.
- Ongoing risks and variable patient responses necessitate new therapeutic strategies.
Purpose of the Study:
- To review recent clinical trials on antiplatelet therapy in cardiovascular disease.
- To highlight advancements in antiplatelet treatment strategies.
- To discuss the evolving landscape of cardiovascular event prevention.
Main Methods:
- Review of pivotal clinical trials.
- Analysis of pharmacodynamic data on platelet reactivity.
- Evaluation of therapeutic strategies using established and novel antiplatelet agents.
Main Results:
- Evidence suggests continued cardiovascular event risk despite standard therapy.
- Significant variability in on-treatment platelet reactivity is observed.
- New therapeutic strategies are under investigation.
Conclusions:
- Advancements in antiplatelet therapy are crucial for improving outcomes in cardiovascular disease.
- Further research and clinical trials are needed to optimize antiplatelet treatment.
- Personalized antiplatelet strategies may address individual patient variability.
Abstract:
Platelets are pivotal contributors to arterial thrombosis. Dual antiplatelet therapy with aspirin and clopidogrel has become the standard of care for the secondary prevention of cardiovascular events in patients with acute coronary syndromes and after percutaneous coronary intervention. Clinical evidence of the continued risk of cardiovascular events plus pharmacodynamic evidence of substantial variability in on-treatment platelet reactivity has supported the development of new therapeutic strategies, using established agents and new antiplatelet drugs. This article will highlight recent pivotal clinical trials seeking to advance the use of antiplatelet therapy in patients with cardiovascular disease.
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