Evidence map›Paper›PMID 26677375›Full record

ReviewPostepy w kardiologii interwencyjnej = Advances in interventional cardiology2015

Personalized antiplatelet therapy with P2Y12 receptor inhibitors: benefits and pitfalls.

Max-Paul Winter, Marek Koziński, Jacek Kubica, Daniel Aradi, Jolanta M Siller-Matula

Open access · goldAbstract readReview
In one paragraph

Review in Postepy w kardiologii interwencyjnej = Advances in interventional cardiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Review
  5. Review
  6. Observational
  7. Article
  8. Cardioprotective properties of the platelet P2YPharmacological reports : PR · 2020
    Article
  9. Observational
  10. Article
  11. Ticagrelor versus clopidogrel in the management of acute myocardial infarction.Journal of community hospital internal medicine perspectives · 2019
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Genetic testing in antiplatelet therapy - not effective for perioperative bleeding.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2017
    Article
  17. Article
  18. Article
  19. Observational
  20. Observational
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

5 authors at 3 institutions in 3 countries.

Max-Paul WinterDepartment of Cardiology, Medical University of Vienna, Vienna, Austria.
Marek KozińskiDepartment of Cardiology and Internal Medicine, Collegium Medicum of the Nicolaus Copernicus University, Bydgoszcz, Poland.
Jacek KubicaDepartment of Cardiology and Internal Medicine, Collegium Medicum of the Nicolaus Copernicus University, Bydgoszcz, Poland.
Daniel AradiDepartment of Cardiology, Heart Center Balatonfüred and Semmelweis University, Heart and Vascular Center, Budapest, Hungary.
Jolanta M Siller-MatulaDepartment of Cardiology, Medical University of Vienna, Vienna, Austria.
Medical University of Vienna · ATNicolaus Copernicus University · PLSemmelweis University · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antiplatelet therapy with P2Y12 receptor inhibitors has become the cornerstone of medical treatment in patients with acute coronary syndrome, after percutaneous coronary intervention and in secondary prevention of atherothrombotic events. Clopidogrel used to be the most broadly prescribed P2Y12 receptor inhibitor with undisputable benefits especially in combination with aspirin, but a considerable number of clopidogrel-treated patients experience adverse thrombotic events in whom insufficient P2Y12-inhibition and a consequential high on-treatment platelet reactivity is a common finding. This clinically relevant limitation of clopidogrel has driven the increased use of new antiplatelet agents. Prasugrel (a third generation thienopyridine) and ticagrelor (a cyclopentyl-triazolo-pyrimidine) feature more potent and predictable P2Y12-inhibition compared to clopidogrel, which translates into improved ischemic outcomes. However, excessive platelet inhibition and consequential low on-treatment platelet reactivity comes at the price of increased risk of major bleeding. The majority of randomized clinical trials failed to demonstrate improved clinical outcomes with platelet function testing and tailored antiplatelet therapy, but results of all recent trials of potent antiplatelets and prolonged antiplatelet durations point towards a need for individualized antiplatelet approach in order to decrease thrombotic events without increasing bleeding. This review focuses on potential strategies for personalizing antiplatelet treatment.

Indexed as

acute coronary syndromesantiplatelet therapyP2Y12 receptor inhibitorsplatelet reactivity

Identifiers

PMID26677375
PMCPMC4679793
OpenAlexW2317599702

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.