The future of antiplatelet therapy in cardiovascular disease

Carlo Patrono, Bianca Rocca

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Mechanisms of platelet inhibition are reviewed with emphasis on the pharmacokinetic and pharmacodynamic determinants of clinical efficacy and safety of antiplatelet drugs. Current developments in antiplatelet therapy are discussed in relation to both primary and secondary prevention of atherothrombotic complications. Interindividual variability in response to antiplatelet agents and new drug targets are outlined within the context of optimizing the balance between the cardiovascular benefits and bleeding risks of antiplatelet therapy. Recent advances in the pharmacogenetics of thienopyridines open the realistic prospect of a personalized choice of the most appropriate antiplatelet agent and tailored dose adjustment for an individual patient.
Original languageEnglish
Pages (from-to)49-61
Number of pages13
JournalAnnual Review of Medicine
Volume61
Publication statusPublished - 2010

Keywords

  • antiplatelet
  • cardiovascular

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