What is the risk of intensifying platelet inhibition beyond clopidogrel? A systematic review and a critical appraisal of the role of prasugrel.

Thienopyridines are a class of drug targeting the platelet adenosine diphosphate 2 receptor. They have been shown to significantly reduce platelet activity exerting an important role in those clinical settings in which such an effect is beneficial. Ticlopidine was first to be introduced several year...

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Autors principals: Testa, L, Bhindi, R, Van Gaal, W, Latini, R, Pizzocri, S, Lanotte, S, Biondi Zoccai, G, Valgimigli, M, Laudisa, M, Brambilla, N, Banning, A, Bedogni, F
Format: Journal article
Idioma:English
Publicat: 2010
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author Testa, L
Bhindi, R
Van Gaal, W
Latini, R
Pizzocri, S
Lanotte, S
Biondi Zoccai, G
Valgimigli, M
Laudisa, M
Brambilla, N
Banning, A
Bedogni, F
author_facet Testa, L
Bhindi, R
Van Gaal, W
Latini, R
Pizzocri, S
Lanotte, S
Biondi Zoccai, G
Valgimigli, M
Laudisa, M
Brambilla, N
Banning, A
Bedogni, F
author_sort Testa, L
collection OXFORD
description Thienopyridines are a class of drug targeting the platelet adenosine diphosphate 2 receptor. They have been shown to significantly reduce platelet activity exerting an important role in those clinical settings in which such an effect is beneficial. Ticlopidine was first to be introduced several years ago but it was quickly replaced by clopidogrel as it had a better risk/benefit profile. Recently, prasugrel has been developed and tested in several ex vivo studies and clinical trials showing able to provide a more powerful antiplatelet effect at the expense of a higher risk of bleeding complications. Great debate rose around its recent approval in the US as well as in Europe. This review aims at exploring the development and available clinical data of this third-generation thienopyridine while discussing its practical implementation in routine practice.
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spelling oxford-uuid:280775e2-ec02-4ac9-bd6e-a6f4df9adb112022-03-26T12:10:25ZWhat is the risk of intensifying platelet inhibition beyond clopidogrel? A systematic review and a critical appraisal of the role of prasugrel.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:280775e2-ec02-4ac9-bd6e-a6f4df9adb11EnglishSymplectic Elements at Oxford2010Testa, LBhindi, RVan Gaal, WLatini, RPizzocri, SLanotte, SBiondi Zoccai, GValgimigli, MLaudisa, MBrambilla, NBanning, ABedogni, FThienopyridines are a class of drug targeting the platelet adenosine diphosphate 2 receptor. They have been shown to significantly reduce platelet activity exerting an important role in those clinical settings in which such an effect is beneficial. Ticlopidine was first to be introduced several years ago but it was quickly replaced by clopidogrel as it had a better risk/benefit profile. Recently, prasugrel has been developed and tested in several ex vivo studies and clinical trials showing able to provide a more powerful antiplatelet effect at the expense of a higher risk of bleeding complications. Great debate rose around its recent approval in the US as well as in Europe. This review aims at exploring the development and available clinical data of this third-generation thienopyridine while discussing its practical implementation in routine practice.
spellingShingle Testa, L
Bhindi, R
Van Gaal, W
Latini, R
Pizzocri, S
Lanotte, S
Biondi Zoccai, G
Valgimigli, M
Laudisa, M
Brambilla, N
Banning, A
Bedogni, F
What is the risk of intensifying platelet inhibition beyond clopidogrel? A systematic review and a critical appraisal of the role of prasugrel.
title What is the risk of intensifying platelet inhibition beyond clopidogrel? A systematic review and a critical appraisal of the role of prasugrel.
title_full What is the risk of intensifying platelet inhibition beyond clopidogrel? A systematic review and a critical appraisal of the role of prasugrel.
title_fullStr What is the risk of intensifying platelet inhibition beyond clopidogrel? A systematic review and a critical appraisal of the role of prasugrel.
title_full_unstemmed What is the risk of intensifying platelet inhibition beyond clopidogrel? A systematic review and a critical appraisal of the role of prasugrel.
title_short What is the risk of intensifying platelet inhibition beyond clopidogrel? A systematic review and a critical appraisal of the role of prasugrel.
title_sort what is the risk of intensifying platelet inhibition beyond clopidogrel a systematic review and a critical appraisal of the role of prasugrel
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