2016
DOI: 10.1016/j.cnur.2015.10.004
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Platelet Inhibitors

Abstract: Antithrombotic medications have become standard of care for management of acute coronary syndrome. Platelet adhesion, activation, and aggregation are essential components of platelet function; platelet-inhibiting medications interfere with these components and reduce incidence of thrombosis. Active bleeding is a contraindication for administration of platelet inhibitors. There is currently no reversal agent for platelet inhibitors, although platelet transfusion may be used to correct active bleeding after admi… Show more

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Cited by 10 publications
(6 citation statements)
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“…At least two separate receptors on platelet cell membranes, GpIb-V-IX complex and GpVI, function to tether the platelet and initiate cellular activation, simultaneously. Once the platelets have adhered to the damaged vascular endothelium, they recruit additional platelets from the circulation to augment the fragile platelet monolayer and eventually form a stable plug (23). Following platelet activation, a coordinated series of events is triggered, including a rapid conformational change and the secretion of α,δ-granules and other intracellular vesicles, including lysosomes, which provide a positive feedback signal during platelet activation (19).…”
Section: Discussionmentioning
confidence: 99%
“…At least two separate receptors on platelet cell membranes, GpIb-V-IX complex and GpVI, function to tether the platelet and initiate cellular activation, simultaneously. Once the platelets have adhered to the damaged vascular endothelium, they recruit additional platelets from the circulation to augment the fragile platelet monolayer and eventually form a stable plug (23). Following platelet activation, a coordinated series of events is triggered, including a rapid conformational change and the secretion of α,δ-granules and other intracellular vesicles, including lysosomes, which provide a positive feedback signal during platelet activation (19).…”
Section: Discussionmentioning
confidence: 99%
“…Acute coronary syndrome (ACS) is a common disease prevalent worldwide, and although its lethality has declined in the last 30 years, it remains the leading cause of human death with high morbidity and mortality ( Chan et al, 2016 ; Bergmark et al, 2022 ). The main treatment for ACS is antiplatelet coagulation ( Shifrin and Widmar, 2016 ; Tsoumani et al, 2016 ; Szarpak et al, 2022 ). Ticagrelor, currently the most commonly used antiplatelet coagulation inhibitor, is widely employed in ACS treatment ( Kabil et al, 2022 ; Tao et al, 2022 ).…”
Section: Introductionmentioning
confidence: 99%
“…Clopidogrel is a potent antiplatelet agent widely used to prevent coronary artery diseases and treat vascular thrombosis [13,14]. Its antiplatelet activity results from selective inhibition of ADP binding to the platelet receptor preventing ADP-mediated platelet responses [15,16]. Therefore, Clopidogrel should be used with caution in patients receiving other drugs that increase bleeding risk include anticoagulants, other antiplatelet, and NSAIDs [17].…”
Section: Introductionmentioning
confidence: 99%