Evidence map›Paper›PMID 30859163›Full record

ArticleNorthern clinics of Istanbul2018

The association between aspirin resistance and extent and severity of coronary atherosclerosis.

Serkan Kahraman, Ali Dogan, Murat Ziyrek, Emrah Usta, Onder Demiroz, Cavlan Ciftci

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Article in Northern clinics of Istanbul, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Serkan KahramanDepartment of Cardiology, Istanbul Silivri State Hospital, Istanbul, Turkey.
Ali DoganDepartment of Cardiology, Istanbul Yeniyuzyil University Faculty of Medicine, Gaziosmanpasa Hospital, Istanbul, Turkey.
Murat ZiyrekDepartment of Cardiology, Istanbul Silivri State Hospital, Istanbul, Turkey.
Emrah UstaDepartment of Cardiology, Baltalimani Training and Research Hospital, Istanbul, Turkey.
Onder DemirozDepartment of Cardiology, Istanbul Bilim University Faculty of Medicine, Istanbul, Turkey.
Cavlan CiftciDepartment of Cardiology, Istanbul Bilim University Faculty of Medicine, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveUncontrolled inflammatory responses could contribute to the pathogenesis of many leading causes of human morbidity and mortality. Aspirin is an anti-inflammatory and antithrombotic drug that is used in the primary and secondary protection in atherothrombotic diseases and complications. The aim of the present study was to analyze the effect of aspirin resistance on the extent and severity of atherosclerosis.

methodsOne hundred patients who underwent coronary angiography with suspected or known coronary artery disease and were using aspirin were enrolled in the study.

resultsOf these 100 patients, 30 (8 female and 22 male) formed the aspirin-resistant group (ARG), and 70 (22 female and 48 male) formed the control group. Gensini scoring system (GSS) was significantly higher in the ARG than in the control group (80.5 (36-166) vs. 45 (2-209); p<0.001). The number of percutaneous coronary intervention (PCI) patients was significantly higher in the ARG (13 of 30 (43.3%) ARG vs. 13 of 70 (18.6%) control group; p=0.01). Furthermore, when we evaluate the 16 reintervention patients, stent restenosis was significantly higher in the ARG (11 of 16 (68.75%) ARG vs. 5 of 16 (31.25%) control group; p=0.016). Multivariate logistic regression analysis revealed that GSS (p=0.038; 95% CI: 1.001-1.026) and PCI history (p=0.017; 95% CI: 1.182-89.804) were independent risk factors for aspirin resistance.

conclusionIn conclusion, atherosclerotic burden as calculated by the GSS is significantly higher in aspirin-resistant patients. According to this result, we suggest that aspirin treatment can be prescribed in higher doses in aspirin resistance patients with coronary events. Furthermore, GSS and PCI history could be independent predictors of aspirin resistance.

Indexed as

Aspirin resistanceatherosclerosiscoronary artery disease

Identifiers

PMID30859163
PMCPMC6371993

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