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Published on: February 28, 2012
Frequency of Aspirin Resistance in Ischemic Stroke Patients and Healthy Controls from Colombia
Alejandro Roman-Gonzalez1, Carlos Andrés Naranjo2, Walter D Cardona-Maya1,3
1Grupo de Investigación en Trombosis, Universidad de Antioquia-UdeA, Colombia.
Insights
Aspirin resistance was observed in 7.4% of ischemic stroke patients and 4% of controls, indicating a need for further investigation into secondary stroke prevention strategies.
Area of Science:
- Cardiology
- Neurology
- Pharmacology
Background:
- Aspirin is a cornerstone for secondary stroke prevention.
- Understanding aspirin resistance is crucial for optimizing patient outcomes.
Purpose of the Study:
- To determine the prevalence of aspirin resistance in Colombian patients with prior ischemic cerebrovascular disease on aspirin therapy.
- To explore potential associations between aspirin resistance and clinical factors.
Main Methods:
- Optic platelet aggregation testing was performed on 350 patients with ischemic strokes and 100 healthy controls.
- All participants were undergoing aspirin treatment.
Main Results:
- Aspirin resistance was detected in 7.4% of ischemic stroke patients and 4% of healthy controls.
- Aspirin resistance showed a significant association with stroke recurrence in univariate analysis (p = 0.004).
- No association was found between aspirin resistance and smoking, diabetes, or hypercholesterolemia.
Conclusions:
- Aspirin resistance is a relevant clinical finding in Colombian patients with ischemic stroke.
- The presence of aspirin resistance warrants further research into its clinical implications for secondary stroke prevention.
Objective:
To evaluate the aspirin resistance prevalence in patients with previous ischemic cerebrovascular disease undergoing aspirin therapy for secondary prevention.
Materials And Methods:
Three hundred fifty patients presenting ischemic strokes and 100 healthy controls under aspirin treatment were evaluated using the optic platelet aggregation test.
Results:
Aspirin resistance was found in 7.4% of the patients with ischemic stroke and 4% of controls. Aspirin resistance was associated with stroke recurrence in univariate analysis (p = 0.004). Aspirin resistance was not associated with smoking, diabetes, or hypercholesterolemia.
Conclusion:
Aspirin resistance is present in Colombian patients with ischemic stroke as well as in healthy controls.
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