Tần suất đề kháng aspirin và một số yếu tố liên quan ở bệnh nhân được can thiệp động mạch vành qua da

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Tác giả: Quang Hân Đỗ, Tấn Thịnh Hồ

Ngôn ngữ: vie

Ký hiệu phân loại: 612.1 Blood and circulation

Thông tin xuất bản: Y học thực hành, 2013

Mô tả vật lý: 76-80

Bộ sưu tập: Metadata

ID: 560099

Objective: To survey the prevalence and risk factors for aspirin resistance in patients undergoing percutaneous coronary intervention. Methods: Cross-sectional study was conducted at Heart Institute in Ho Chi Minh city from 12/2011 to 6/2012 on patients with percutaneous coronary intervention A loading dose of 325mg aspirin was used in patients with acute coronary syndrome before undergoing urgent coronary intervention, and patients with chronic coronary disease received standard dose of 100mg aspirin/day at least 4 days before undergoing intervention. After the intervention, all patients receive 250 mg aspirin /day. Platelet function were measured about 48 hours after the intervention with PFA 100 test (Platelet Function Analyzer 100) by cartridge collagen/epinephrine (CEPI). Results: In 174 patients included in the study, there were 37 cases (21,3 percent) resistant to aspirin therapy. Some factors significantly relating to aspirin resistance (p0.05) were chronic kidney disease, obesity, myocardial infarction with ST segment elevation and ischemic cardiomyopathy. Conclusions: Aspirin resistance frequency is relatively high in patients with percutaneous coronary intervention.
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