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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2009-8-13
pubmed:abstractText
In this study, we aimed to assess the factors associated with laboratory-defined aspirin resistance and the relationship of this laboratory-defined aspirin resistance with thrombolysis in myocardial infarction risk score, markers of cardiac necrosis, and inflammatory and thrombotic risk factors in patients with unstable angina or non-ST elevation myocardial infarction. Ninety-seven patients who were under aspirin therapy and hospitalized with unstable angina/non-ST elevation myocardial infarction were included in the study. Laboratory-defined aspirin sensitive and resistant groups were determined by platelet function analyzer; aspirin resistance was defined as collagen/epinephrine closure time less than 165 s. Laboratory-defined aspirin resistance was noted in 29 patients (29.9%), and non-ST elevation myocardial infarction was observed in 46 patients (47.4%). Patients in the group with laboratory-defined aspirin resistance had significantly higher thrombolysis in myocardial infarction risk scores (P < 0.001). When the details of cardiac myonecrosis markers were compared, baseline and follow-up creatine kinase-myocardial band and troponin I values were higher in laboratory-defined aspirin-resistant group. Multivariate analyses revealed that laboratory-defined aspirin resistance was an independent predictor of non-ST elevation myocardial infarction (P = 0.022). Laboratory-defined aspirin resistance is associated with non-ST elevation myocardial infarction, higher markers of cardiac necrosis and thrombolysis in myocardial infarction risk score in patients hospitalized with unstable angina/non-ST elevation myocardial infarction.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
1473-5733
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
20
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
427-32
pubmed:meshHeading
pubmed-meshheading:19542882-Acute Coronary Syndrome, pubmed-meshheading:19542882-Aged, pubmed-meshheading:19542882-Angina, Unstable, pubmed-meshheading:19542882-Aspirin, pubmed-meshheading:19542882-Comorbidity, pubmed-meshheading:19542882-Drug Resistance, pubmed-meshheading:19542882-Electrocardiography, pubmed-meshheading:19542882-Female, pubmed-meshheading:19542882-Humans, pubmed-meshheading:19542882-Inflammation, pubmed-meshheading:19542882-Male, pubmed-meshheading:19542882-Middle Aged, pubmed-meshheading:19542882-Myocardial Infarction, pubmed-meshheading:19542882-Myocardium, pubmed-meshheading:19542882-Necrosis, pubmed-meshheading:19542882-Platelet Activation, pubmed-meshheading:19542882-Platelet Aggregation Inhibitors, pubmed-meshheading:19542882-Platelet Function Tests, pubmed-meshheading:19542882-Risk Factors, pubmed-meshheading:19542882-Severity of Illness Index, pubmed-meshheading:19542882-Thrombophilia
pubmed:year
2009
pubmed:articleTitle
The clinical importance of laboratory-defined aspirin resistance in patients presenting with non-ST elevation acute coronary syndromes.
pubmed:affiliation
Faculty of Medicine, Department of Cardiology, Ministry of Health Di?kapi Yildirim Beyazit Research and Educational Hospital, Baskent University, Ankara, Turkey. sadik.acikel@tkd.org.tr
pubmed:publicationType
Journal Article, Comparative Study