American Journal of Cardiology
Volume 102, Issue 4 , Pages 401-403 , 15 August 2008

Comparison of Higher Clopidogrel Loading and Maintenance Dose to Standard Dose on Platelet Function and Outcomes After Percutaneous Coronary Intervention Using Drug-Eluting Stents

Received 22 January 2008 ,Revised 29 March 2008 ,Accepted 29 March 2008.

References 

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  2. Rao AK, Pratt C, Berke A, Ockene I, Schreiber TL, Bell WR, et al. Thrombolysis In Myocardial Infarction (TIMI) trial—phase I: hemorrhagic manifestations and changes in plasma fibrinogen and the fibrinolytic system in patients treated with recombinant tissue plasminogen activator and streptokinase. J Am Coll Cardiol. 1988;11:1–11
  3. Bertrand ME, Rupprecht HJ, Urban P, Gershlick AH CLASSICS Investigators. Double-blind study of the safety of clopidogrel with and without a loading dose in combination with aspirin after coronary stenting: the Clopidogrel Aspirin Stent International Cooperative Study (CLASSICS). Circulation. 2000;102:624–629
  4. CURE Investigators. Effects of clopidogrel in addition to aspirin in patients with acute coronary syndromes without ST-segment elevation. N Engl J Med. 2001;345:494–502
  5. Hochholzer W, Trenk D, Bestehorn HP, Fischer B, Valina CM, Ferenc M, et al. Impact of the degree of peri-interventional platelet inhibition after loading with clopidogrel on early clinical outcome of elective coronary stent placement. J Am Coll Cardiol. 2006;48:1742–1750
  6. Cuisset T, Frere C, Quilici J, Morange PE, Nait-Saidi L, Carvajal J, et al. Benefit of a 600-mg loading dose of clopidogrel on platelet reactivity and clinical outcomes in patients with non–ST-segment elevation acute coronary syndrome undergoing coronary stenting. J Am Coll Cardiol. 2006;48:1339–1345
  7. Müller I, Besta F, Schulz C, Massberg S, Schönig A, Gawaz M. Prevalence of clopidogrel non-responders among patients with angina pectoris scheduled for elective coronary stent placement. Thromb Haemost. 2003;89:783–787
  8. Bates ER, Lau WC, Bleske BE. Loading pretreatement and interindividual variability issues with clopidogrel dosing. Circulation. 2005;111:2557–2559
  9. Bliden KP, Chiara J, Tantry US, Bassi AK, Chaganti SK, Burbel PA. Increased risk in patients with high platelet aggregation on chronic clopidogrel therapy undergoing PCI: is the current antiplatelet therapy adequate?. J Am Coll Cardiol. 2007;49:657–666
  10. Gurbel PA, Bliden KP, Tantry US. The effect of clopidogrel with and without eptifibatide on tumor necrosis factor-alpha and C-reactive protein release after elective stenting: results of the CLEAR-PLATELETS-1b study. J Am Coll Cardiol. 2006;48:2186–2189

PII: S0002-9149(08)00646-2

doi: 10.1016/j.amjcard.2008.03.073

American Journal of Cardiology
Volume 102, Issue 4 , Pages 401-403 , 15 August 2008