Evidence map›Paper›PMID 19352331›Full record

ReviewNature reviews. Cardiology2009

Antiplatelet drug 'resistance'. Part 1: mechanisms and clinical measurements.

Joseph M Sweeny, Diana A Gorog, Valentin Fuster

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Cardiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
9.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 96 citations in OpenAlex.

  1. Trial
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  3. Safety and effectiveness of low dosing of double antiplatelet therapy during long-term left ventricular support with the INCOR system.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2010
    Trial
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  10. Review
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  13. Medication History versus Point-of-Care Platelet Activity Testing in Patients with Intracerebral Hemorrhage.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2018
    Observational
  14. Article
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  19. Aspirin treatment failure and the risk of recurrent stroke and death among patients with ischemic stroke.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2013
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Joseph M SweenyMount Sinai Medical Center, One Gustave L Levy Place, New York, NY 10029, USA.
Diana A Gorog
Valentin Fuster
Icahn School of Medicine at Mount Sinai · USImperial College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antiplatelet drug therapy has become one of the cornerstones of treatment for patients with cardiovascular disease. Large clinical trials have shown that antiplatelet medications have important clinical benefits and prevent adverse outcomes in patients with coronary artery disease. Recurrent adverse cardiovascular events still occur in a substantial proportion of patients on standard dual antiplatelet therapy, however, which has been attributed to nonresponsiveness to this treatment. Both pharmacological and pharmacokinetic mechanisms are involved in variability in responsiveness to antiplatelet agents, and include drug bioavailability, medication noncompliance, drug-drug interactions, cytochrome P450 activity, and genetic polymorphisms. Numerous observational studies have consistently shown an association between antiplatelet drug nonresponsiveness and adverse clinical outcomes. However, these studies are limited by varying antiplatelet drug dosing regimens, heterogeneous laboratory assessments for ex vivo platelet function, and wide interindividual variation in platelet responses. Only within the last 2 years have randomized clinical trials indicated that increased dosing with antiplatelet drugs could reduce adverse clinical outcomes. Nonetheless, large clinical trials with standardized laboratory methods and well-defined protocols are needed that will definitively determine the association between antiplatelet drug nonresponsiveness and clinical events, and establish therapeutic strategies to overcome blunted antiplatelet effects.

Indexed as

Drug ResistancePlatelet Function TestsAnimalsAspirinBlood PlateletsClopidogrelDrug InteractionsDrug Therapy, CombinationHumansMedication AdherencePlatelet Aggregation InhibitorsPolymorphism, GeneticPredictive Value of TestsTiclopidineTreatment FailureAspirinClopidogrelPlatelet Aggregation InhibitorsTiclopidine

Identifiers

PMID19352331
OpenAlexW1993922806

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.