The role of antiplatelet therapy in the secondary prevention of coronary artery disease.

Abstract:

PURPOSE OF REVIEW:In this study, we review the evidence for both long-standing and newer oral antiplatelet agents as secondary prevention in coronary artery disease, and give our opinion on where each agent's treatment role lies. RECENT FINDINGS:Platelets play a pathological role in acute coronary syndromes and are therefore a major therapeutic target. The caveat to this is that their physiological haemostatic role means there must be a careful balance between preventing ischaemia and not promoting bleeding. In addition to accepted oral agents (aspirin and clopidogrel), more potent antiplatelet agents have recently become available (prasugrel and ticagrelor) at a cost of increased bleeding. SUMMARY:There is now a choice of three antiplatelet agents to be used in conjunction with aspirin for secondary prevention with dual antiplatelet therapy. Clinicians must now 'tailor' the correct therapy for each patient, depending on their presentation, clinical features and stage of risk.

journal_name

Curr Opin Cardiol

authors

Behan MW,Chew DP,Aylward PE

doi

10.1097/HCO.0b013e328338f7b5

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

321-8

issue

4

eissn

0268-4705

issn

1531-7080

journal_volume

25

pub_type

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