MedStar Authors catalog › Details for: Comparison of Platelet Reactivity in Black Versus White Patients With Acute Coronary Syndromes After Treatment With Ticagrelor.
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Comparison of Platelet Reactivity in Black Versus White Patients With Acute Coronary Syndromes After Treatment With Ticagrelor.

by Gaglia, Michael AJ; Lipinski, Michael J; Steinvil, Arie; Kiramijyan, Starkis; Pokharel, Shreejana; Torguson, Rebecca; Waksman, Ron.
Citation: American Journal of Cardiology. 119(8):1135-1140, 2017 Apr 15.Journal: The American journal of cardiology.Published: 2017ISSN: 0002-9149.Full author list: Gaglia MA Jr; Lipinski MJ; Lhermusier T; Steinvil A; Kiramijyan S; Pokharel S; Torguson R; Angiolillo DJ; Wallentin L; Storey RF; Waksman R.UI/PMID: 28202132.Subject(s): *Acute Coronary Syndrome/dt [Drug Therapy] | *Adenosine/aa [Analogs & Derivatives] | Adenosine/pd [Pharmacology] | Adenosine/tu [Therapeutic Use] | *African Continental Ancestry Group | Aged | *Blood Platelets/de [Drug Effects] | *European Continental Ancestry Group | Female | Humans | Male | Middle Aged | Platelet Aggregation Inhibitors/tu [Therapeutic Use] | Platelet Function Tests | Prospective Studies | Purinergic P2Y Receptor Antagonists/pd [Pharmacology] | *Purinergic P2Y Receptor Antagonists/tu [Therapeutic Use] | Ticlopidine/aa [Analogs & Derivatives] | Ticlopidine/tu [Therapeutic Use]Institution(s): MedStar Health Research Institute | MedStar Heart & Vascular InstituteActivity type: Journal Article.Medline article type(s): Journal ArticleOnline resources: Click here to access online Digital Object Identifier: https://dx.doi.org/10.1016/j.amjcard.2017.01.002 (Click here) Abbreviated citation: Am J Cardiol. 119(8):1135-1140, 2017 Apr 15.Local Holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006.Abstract: Ticagrelor, a potent platelet inhibitor, has primarily been studied in white patients. Platelet reactivity among black patients with acute coronary syndrome (ACS) on ticagrelor, however, is unknown. Our objective was to compare platelet reactivity in black versus white patients with ACS treated with ticagrelor. We conducted a prospective, pharmacodynamic study of 29 black patients with ACS treated with ticagrelor. Platelet reactivity was assessed at 1, 4, and 8 hours after a loading dose of ticagrelor 180 mg and at 30 days on a maintenance dose of ticagrelor 90 mg twice daily. Assays included light transmission aggregometry, VerifyNow P2Y12, and vasodilator-stimulated phosphoprotein. We provided comparison with a historical white cohort. Platelet reactivity among blacks with ACS on ticagrelor was similar to that in whites, except that blacks had lower values at 4 hours, 8 hours, and on maintenance therapy for light transmission aggregometry with 20 mumol/L adenosine diphosphate. Among blacks, high-on-treatment platelet reactivity for all 3 assays was uncommon at 1 hour and nonexistent at 4 hours, 8 hours, and while on maintenance therapy. Blacks preloaded with clopidogrel (n = 17) had significantly lower results of VerifyNow (64 +/- 65 vs 198 +/- 86, p <0.001) and vasodilator-stimulated phosphoprotein (12.8 +/- 21.6 vs 58.9 +/- 19.9, p <0.001) at 1 hour compared with those with no clopidogrel preload. In conclusion, among patients with ACS receiving ticagrelor, levels of platelet reactivity in blacks are similar to that in whites. This suggests that the cardiovascular benefits of ticagrelor observed in the platelet inhibition and patient outcomes (PLATO) trial are likely to be observed in blacks and whites.Abstract: Copyright � 2017 Elsevier Inc. All rights reserved.

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