Article
Cost-effectiveness of CYP2C19 genotyping to guide antiplatelet therapy for acute minor stroke and high-risk transient ischemic attack.
Scientific reports - 1 Apr 2021
Cai Zeling, Cai De, Wang Ruiwen, Wang Heng, Yu Ze, Gao Fei, Liu Yuansheng, Kang Yingbo, Wu Zhuomin
Abstract excerpt
Dual antiplatelet therapy (DAPT) with clopidogrel plus aspirin within 48 h of acute minor strokes and transient ischemic attacks (TIAs) has been indicated to effectively reduce the rate of recurrent strokes. However, the efficacy of clopidogrel has been shown to be affected by cytochrome P450 2C19 (CYP2C19) polymorphisms. Patients carrying loss-of-function alleles (LoFAs) at a low risk of recurrence (ESRS < 3)...
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