Frecuencia y características de la resistencia a aspirina en pacientes cardiovasculares chilenos

Background: Studies performed in Anglo-Saxon countries show that 5% of patients are resistant to the antiplatelet effects of aspirin. Aim: To assess the prevalence of aspirin resistance in a sample of Chilean cardiovascular patients and its association with clinical and laboratory characteristics. P...

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Autores principales: Dussaillant N,Gastón, Zapata M,Mario, Fardella B,Patricia, Conte L,Guillermo, Cuneo V,Marianela
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2005
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000400003
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spelling oai:scielo:S0034-988720050004000032005-06-13Frecuencia y características de la resistencia a aspirina en pacientes cardiovasculares chilenosDussaillant N,GastónZapata M,MarioFardella B,PatriciaConte L,GuillermoCuneo V,Marianela Aspirin Cardiovascular diseases Platelet aggregation inhibitors Background: Studies performed in Anglo-Saxon countries show that 5% of patients are resistant to the antiplatelet effects of aspirin. Aim: To assess the prevalence of aspirin resistance in a sample of Chilean cardiovascular patients and its association with clinical and laboratory characteristics. Patients and Methods: Ninety nine patients (30 women, 63±10 years) treated for stable cardiovascular diseases with aspirin 100-325 mg/day were studied. Clinical and basic coagulation variables were assessed. Platelet aggregation was studied with platelet rich plasma using three different agonists in an optical aggregometer. Aspirin resistance was defined as an aggregation 20% with arachidonic acid and an aggregation 70% with ADP or collagen. Results: Eleven patients (11.11%, 95% CI= 4.95-17.27%) complied with both criteria and were classified as aspirin resistant. Current smoking was more common in aspirin resistant patients (63.6 vs 29.6%, p=0.039). Conclusions: Aspirin resistance was found in a significant proportion of cardiovascular patients and was more common among current smokersinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.133 n.4 20052005-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000400003es10.4067/S0034-98872005000400003
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Aspirin
Cardiovascular diseases
Platelet aggregation inhibitors
spellingShingle Aspirin
Cardiovascular diseases
Platelet aggregation inhibitors
Dussaillant N,Gastón
Zapata M,Mario
Fardella B,Patricia
Conte L,Guillermo
Cuneo V,Marianela
Frecuencia y características de la resistencia a aspirina en pacientes cardiovasculares chilenos
description Background: Studies performed in Anglo-Saxon countries show that 5% of patients are resistant to the antiplatelet effects of aspirin. Aim: To assess the prevalence of aspirin resistance in a sample of Chilean cardiovascular patients and its association with clinical and laboratory characteristics. Patients and Methods: Ninety nine patients (30 women, 63±10 years) treated for stable cardiovascular diseases with aspirin 100-325 mg/day were studied. Clinical and basic coagulation variables were assessed. Platelet aggregation was studied with platelet rich plasma using three different agonists in an optical aggregometer. Aspirin resistance was defined as an aggregation 20% with arachidonic acid and an aggregation 70% with ADP or collagen. Results: Eleven patients (11.11%, 95% CI= 4.95-17.27%) complied with both criteria and were classified as aspirin resistant. Current smoking was more common in aspirin resistant patients (63.6 vs 29.6%, p=0.039). Conclusions: Aspirin resistance was found in a significant proportion of cardiovascular patients and was more common among current smokers
author Dussaillant N,Gastón
Zapata M,Mario
Fardella B,Patricia
Conte L,Guillermo
Cuneo V,Marianela
author_facet Dussaillant N,Gastón
Zapata M,Mario
Fardella B,Patricia
Conte L,Guillermo
Cuneo V,Marianela
author_sort Dussaillant N,Gastón
title Frecuencia y características de la resistencia a aspirina en pacientes cardiovasculares chilenos
title_short Frecuencia y características de la resistencia a aspirina en pacientes cardiovasculares chilenos
title_full Frecuencia y características de la resistencia a aspirina en pacientes cardiovasculares chilenos
title_fullStr Frecuencia y características de la resistencia a aspirina en pacientes cardiovasculares chilenos
title_full_unstemmed Frecuencia y características de la resistencia a aspirina en pacientes cardiovasculares chilenos
title_sort frecuencia y características de la resistencia a aspirina en pacientes cardiovasculares chilenos
publisher Sociedad Médica de Santiago
publishDate 2005
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872005000400003
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