Article
Clinical impact of genetically determined platelet reactivity.
Journal of cardiovascular translational research - 1 Jun 2013
Laine Marc, Arméro Sébastien, Peyrol Michaël, Sbragia Pascal, Thuny Franck, Paganelli Franck, Bonello Laurent
Abstract excerpt
Dual antiplatelet therapy with aspirin and clopidogrel dramatically reduced the rate of major adverse cardiac events following percutaneous coronary intervention. Clopidogrel is a prodrug which requires a two-step hepatic biotransformation thanks to the cytochrome P450 (CYP450) enzyme system. Genetic polymorphism of CYP450 system (e.g., CYP2C19*2) responsible for altered clopidogrel metabolism is a major cause of...
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