Impact of renal function on Ticagrelor-induced antiplatelet effects in coronary artery disease patients

Autor: Manuel Veas Porlán, Antonio Tello-Montoliu, Cecilia López-García, Pablo Gil-Pérez, Miriam Quintana-Giner, Raquel López-Gálvez, José Miguel Rivera-Caravaca, Francisco Marín, Domingo Pascual Figal
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: International Journal of Cardiology: Heart & Vasculature, Vol 46, Iss , Pp 101195- (2023)
Druh dokumentu: article
ISSN: 2352-9067
DOI: 10.1016/j.ijcha.2023.101195
Popis: Background: Chronic renal failure (CKD) is associated with the presence of increased platelet reactivity and lower clinical benefit of clopidogrel. Ticagrelor has a more favorable pharmacodynamic and pharmacokinetic profile compared to clopidogrel, which has translated into better clinical outcomes in patients with acute coronary syndrome (ACS). We conducted a prospective mechanistic cohort study in order to investigate the impact of renal failure on the pharmacokinetics and pharmacodynamics of ticagrelor in patients with acute ACS. Methods: Patients were divided into two groups based on their estimated renal clearances (eGFR ≥ 60 mL/min and eGFR
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