Clopidogrel therapy effects on cell hemostasis in acute coronary syndrome

The study was aimed at investigating cell hemostasis parameters in acute coronary syndrome (ACS), and comparing the effects of various antiaggregant medications (clopidogrel, aspirin, or their combination) on platelet (PL) and red blood cell (RBC) aggregation activity. In total, 98 ACS patients were...

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Main Authors: R. A. Rakhimova, B. A. Alyavi, M. L. Kenzhaev, L. Sh. Davlatova
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2008-12-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/1642
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author R. A. Rakhimova
B. A. Alyavi
M. L. Kenzhaev
L. Sh. Davlatova
author_facet R. A. Rakhimova
B. A. Alyavi
M. L. Kenzhaev
L. Sh. Davlatova
author_sort R. A. Rakhimova
collection DOAJ
description The study was aimed at investigating cell hemostasis parameters in acute coronary syndrome (ACS), and comparing the effects of various antiaggregant medications (clopidogrel, aspirin, or their combination) on platelet (PL) and red blood cell (RBC) aggregation activity. In total, 98 ACS patients were divided into groups, according to the antiaggregant therapy received. At Days 3-4 and 6-7, PL aggregation activity and RBC morphology and function were assessed. Antiaggregant therapy was highly effective among those receiving combined treatment, with minimal PL aggregation and maximal RBC morphology improvement (high prevalence of discocytes and reversibly deformed RBC) observed as early as Day 3 and further increasing by Day 7. All three variants of antiaggregant therapy were significantly effective, but Clopidogrel, especially in combination with aspirin, demonstrated the best effect. Combined therapy (clopidogrel and aspirin) improved cell hemostasis parameters, which could be linked to better aggregation inhibition due to different therapeutic targets for these two agents.
format Article
id doaj-art-91b7db18cd304b699d58950c2ac40179
institution Kabale University
issn 1560-4071
2618-7620
language Russian
publishDate 2008-12-01
publisher «FIRMA «SILICEA» LLC
record_format Article
series Российский кардиологический журнал
spelling doaj-art-91b7db18cd304b699d58950c2ac401792025-08-20T03:57:26Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202008-12-010633371427Clopidogrel therapy effects on cell hemostasis in acute coronary syndromeR. A. Rakhimova0B. A. Alyavi1M. L. Kenzhaev2L. Sh. Davlatova3Республиканский научный центр экстренной медицинской помощи, ТашкентРеспубликанский научный центр экстренной медицинской помощи, ТашкентРеспубликанский научный центр экстренной медицинской помощи, ТашкентРеспубликанский научный центр экстренной медицинской помощи, ТашкентThe study was aimed at investigating cell hemostasis parameters in acute coronary syndrome (ACS), and comparing the effects of various antiaggregant medications (clopidogrel, aspirin, or their combination) on platelet (PL) and red blood cell (RBC) aggregation activity. In total, 98 ACS patients were divided into groups, according to the antiaggregant therapy received. At Days 3-4 and 6-7, PL aggregation activity and RBC morphology and function were assessed. Antiaggregant therapy was highly effective among those receiving combined treatment, with minimal PL aggregation and maximal RBC morphology improvement (high prevalence of discocytes and reversibly deformed RBC) observed as early as Day 3 and further increasing by Day 7. All three variants of antiaggregant therapy were significantly effective, but Clopidogrel, especially in combination with aspirin, demonstrated the best effect. Combined therapy (clopidogrel and aspirin) improved cell hemostasis parameters, which could be linked to better aggregation inhibition due to different therapeutic targets for these two agents.https://russjcardiol.elpub.ru/jour/article/view/1642acute coronary syndromeplatelet aggregationantiaggregant therapyred blood cell structure and functionclopidogrel
spellingShingle R. A. Rakhimova
B. A. Alyavi
M. L. Kenzhaev
L. Sh. Davlatova
Clopidogrel therapy effects on cell hemostasis in acute coronary syndrome
Российский кардиологический журнал
acute coronary syndrome
platelet aggregation
antiaggregant therapy
red blood cell structure and function
clopidogrel
title Clopidogrel therapy effects on cell hemostasis in acute coronary syndrome
title_full Clopidogrel therapy effects on cell hemostasis in acute coronary syndrome
title_fullStr Clopidogrel therapy effects on cell hemostasis in acute coronary syndrome
title_full_unstemmed Clopidogrel therapy effects on cell hemostasis in acute coronary syndrome
title_short Clopidogrel therapy effects on cell hemostasis in acute coronary syndrome
title_sort clopidogrel therapy effects on cell hemostasis in acute coronary syndrome
topic acute coronary syndrome
platelet aggregation
antiaggregant therapy
red blood cell structure and function
clopidogrel
url https://russjcardiol.elpub.ru/jour/article/view/1642
work_keys_str_mv AT rarakhimova clopidogreltherapyeffectsoncellhemostasisinacutecoronarysyndrome
AT baalyavi clopidogreltherapyeffectsoncellhemostasisinacutecoronarysyndrome
AT mlkenzhaev clopidogreltherapyeffectsoncellhemostasisinacutecoronarysyndrome
AT lshdavlatova clopidogreltherapyeffectsoncellhemostasisinacutecoronarysyndrome