Aspirin and Clopidogrel Resistance

Slides:



Advertisements
Similar presentations
Clinical Pharmacology, Uses, and Adverse Reactions of Iodinated Contrast Agents: A Primer for the Non-radiologist Jeffrey J. Pasternak, MD, Eric E. Williamson,
Advertisements

My Treatment Approach to Hairy Cell Leukemia Rahul R. Naik, MD, Alan Saven, MD Mayo Clinic Proceedings Volume 87, Issue 1, Pages (January 2012) DOI:
Celebrating the Sesquicentennial of Mayo Clinic: 150 Years of Advances in Medical Practice, Education, Research, and Professionalism  William L. Lanier,
My Treatment Approach to Gout
Rethinking Cocaine-Associated Chest Pain and Acute Coronary Syndromes
Charles D. Burger, MD, Roger K. Resar, MD  Mayo Clinic Proceedings 
Aspirin and Clopidogrel Resistance
Managing Cancer Pain: Basic Principles and Invasive Treatments
80-Year-Old Man With Massive Leg Swelling
Ductal Carcinoma in Situ of the Breast
Use of the Coronary Artery Calcium Score in Discussion of Initiation of Statin Therapy in Primary Prevention  Erin D. Michos, MD, MHS, Michael J. Blaha,
55-Year-Old Man With Anemia and Hemorrhagic Ascites
J. Eric Ahlskog, PhD, MD  Mayo Clinic Proceedings 
Evaluation of Proteinuria
Clopidogrel-Induced Systemic Inflammatory Response Syndrome
Jean L. Chan, MD, Martin J. Abrahamson, MD  Mayo Clinic Proceedings 
Diagnostic Options for Assessment of Postmenopausal Bleeding
Nonsteroidal Anti-Inflammatory Drug-Induced Enteropathy: Case Discussion and Review of the Literature  Paul Y. Kwo, M.D., William J. Tremaine, M.D.  Mayo.
Paradoxical Rebound Platelet Activation After Painkillers Cessation: Missing Risk for Vascular Events?  Victor L. Serebruany, MD, Alex I. Malinin, MD,
William L. Lanier, MD  Mayo Clinic Proceedings 
Desmoid Tumor Mayo Clinic Proceedings
Charles D. Burger, MD, Roger K. Resar, MD  Mayo Clinic Proceedings 
Review of Childhood Obesity
Management of Adult Onset Seizures
My Treatment Approach to Gout
Vulvovaginal Issues in Mature Women
Direct-to-Consumer Testing 2
Palliative Care and Hospice Programs
Topical Analgesics in the Management of Acute and Chronic Pain
RICHARD K. WINKELMANN, M.D., Ph.D., J. CLARKE STEVENS, M.D. 
Issues in Long-term Opioid Therapy: Unmet Needs, Risks, and Solutions
Gregg W. Stone, MD, Herbert D. Aronow, MD, MPH  Mayo Clinic Proceedings 
Acupuncture Mayo Clinic Proceedings
CHARLES H. DICKEN, M.D.  Mayo Clinic Proceedings 
Metastatic Breast Cancer
Pancreatic Ductal Adenocarcinoma
Medical management of osteoarthritis
Refurbishing Mayo Clinic Proceedings:
Peripartum Cardiomyopathy Presenting as an Acute Myocardial Infarction
Antidepressants and Brain Neurochemistry
Pharmacogenomics: Precision Medicine and Drug Response
Management of Adult Onset Seizures
Complex Regional Pain Syndrome
Evaluation and Management of Penicillin Allergy
Diabetic Mastopathy Mayo Clinic Proceedings
Simon M. Glynn, MD, Sean J. Pittock, MD, Steven A. Vernino, MD, PhD 
Novel Risk Factors for Atherosclerosis
Hepatocellular Carcinoma
68-Year-Old Man With Chronic Diarrhea, Nausea, and Vomiting
Methylphenidate: Its Pharmacology and Uses
Pulmonary Tumor Embolism of Unknown Origin
Rethinking Cocaine-Associated Chest Pain and Acute Coronary Syndromes
Celebrating the Sesquicentennial of Mayo Clinic: 150 Years of Advances in Medical Practice, Education, Research, and Professionalism  William L. Lanier,
Hugh Taggart, MD, Michael A
Behram A. Khan, MD, Conrad Deel, MD, Richard N. Hellman, MD 
Medical Treatment of Overactive Bladder: In Response
Ross Arena, PhD, PT, FAHA, Carl J. Lavie, MD  Mayo Clinic Proceedings 
Hassanali H. Sewani, MD, Jeffrey T. Rabatin, MD 
Mantle Cell Involvement of the Spleen
Squamous Cell Carcinoma of the Tongue
Preoperative Smoking Cessation: The Role of the Primary Care Provider
Branchial Cleft Cyst in Lateral Neck of an Adult
Medical Student Distress: Causes, Consequences, and Proposed Solutions
Autonomic Tone and Benefits of Cardiac Rehabilitation Programs
Clomiphene-Induced Severe Hypertriglyceridemia and Pancreatitis
Managing Cancer Pain: Basic Principles and Invasive Treatments
Prosthetic Valve Endocarditis Diagnosed by 18F-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography  Shigeo Godo, MD, PhD, Shigeki Kushimoto,
Diagnosis and Management of Headache in Older Adults
Acute and Chronic Seizures in Patients Older Than 60 Years
Mayo Clinic Proceedings 2012: “A New Era in Journal Stewardship”
Presentation transcript:

Aspirin and Clopidogrel Resistance Erin D. Michos, MD, Reza Ardehali, MD, PhD, Roger S. Blumenthal, MD, Richard A. Lange, MD, Hossein Ardehali, MD, PhD  Mayo Clinic Proceedings  Volume 81, Issue 4, Pages 518-526 (April 2006) DOI: 10.4065/81.4.518 Copyright © 2006 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 Sites of action of aspirin and clopidogrel. ADP = adenosine diphosphate; COX-1 = cyclooxygenase 1; GP = glycoprotein; TXA2 = thromboxane A2. Mayo Clinic Proceedings 2006 81, 518-526DOI: (10.4065/81.4.518) Copyright © 2006 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 Proposed mechanisms for aspirin resistance. ASA = aspirin; COX = cyclooxygenase; NSAIDs = nonsteroidal anti-inflammatory drugs; TXA2 = thromboxane A2. Mayo Clinic Proceedings 2006 81, 518-526DOI: (10.4065/81.4.518) Copyright © 2006 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 3 Proposed mechanisms for clopidogrel resistance. ACS = acute coronary syndrome. Mayo Clinic Proceedings 2006 81, 518-526DOI: (10.4065/81.4.518) Copyright © 2006 Mayo Foundation for Medical Education and Research Terms and Conditions