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Antiplatelet Therapy in Coronary Artery Disease: Now and Then
Maximilian Tscharre1,2, Thomas Gremmel2,3,4
1Department of Internal Medicine, Cardiology and Nephrology, Landesklinikum Wiener Neustadt, Wiener Neustadt, Austria.
Insights
Cardiovascular disease, like coronary artery disease, is a major health issue. Antiplatelet therapy is crucial for managing this condition by preventing blood clots.
Area of Science:
- Cardiovascular Medicine
- Pharmacology
- Thrombosis Research
Background:
- Coronary artery disease (CAD) is a primary cause of death and illness globally.
- Platelet activation and aggregation are central to thrombus formation and vessel occlusion in CAD.
- Antiplatelet therapy is a fundamental treatment for CAD.
Approach:
- This review traces the historical development of antiplatelet therapies.
- It examines both past and present antiplatelet medications and treatment strategies.
- The focus is on the evolution and current landscape of antiplatelet agents.
Key Points:
- Platelet function is critical in the pathogenesis of CAD.
- A variety of antiplatelet drug classes are available for clinical use.
- Understanding the evolution of these therapies informs current treatment approaches.
Conclusions:
- Antiplatelet therapy has significantly evolved to combat CAD.
- A comprehensive overview of antiplatelet drugs and strategies is presented.
- This review highlights the ongoing importance of antiplatelet agents in cardiovascular medicine.
Abstract:
Cardiovascular disease, particularly coronary artery disease (CAD), remains the leading cause of mortality and morbidity in industrialized countries. Platelet activation and aggregation at the site of endothelial injury play a key role in the processes ultimately resulting in thrombus formation with vessel occlusion and subsequent end-organ damage. Consequently, antiplatelet therapy has become a mainstay in the pharmacological treatment of CAD. Several drug classes have been developed over the last decades and a broad armamentarium of antiplatelet agents is currently available. This review portrays the evolution of antiplatelet therapy, and provides an overview on previous and current antiplatelet drugs and strategies.
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