Clinical importance of antiplatelet drugs in cardiovascular diseases

Clin Hemorheol Microcirc. 2013;53(1-2):81-96. doi: 10.3233/CH-2012-1578.

Abstract

Platelets play an important role both in normal hemostasis and in pathological thrombus formation. Several large-scale clinical studies have proved that the inhibition of platelet aggregation results in a significant decrease in mortality and morbidity of ischemic atherothrombotic events, thus antiplatelet therapy became a key pharmacological method in prevention and treatment of such cardiovascular, cerebrovascular and peripheral arterial diseases. The present paper aims to give a brief overview of the most important antiplatelet drugs, their mechanism of action and their recommended usage in cardiovascular diseases. We also discuss possible methods to monitor the effectiveness of therapy and possible causes of therapeutic failure.

Publication types

  • Review

MeSH terms

  • Acute Coronary Syndrome / drug therapy
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Blood Platelets / drug effects
  • Cardiovascular Diseases / drug therapy*
  • Cardiovascular Diseases / prevention & control
  • Clopidogrel
  • Cyclooxygenase Inhibitors / therapeutic use
  • Humans
  • Phosphodiesterase Inhibitors / therapeutic use
  • Platelet Aggregation / drug effects
  • Platelet Aggregation Inhibitors / therapeutic use*
  • Platelet Glycoprotein GPIIb-IIIa Complex / antagonists & inhibitors
  • Ticlopidine / analogs & derivatives
  • Ticlopidine / therapeutic use

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Cyclooxygenase Inhibitors
  • Phosphodiesterase Inhibitors
  • Platelet Aggregation Inhibitors
  • Platelet Glycoprotein GPIIb-IIIa Complex
  • Clopidogrel
  • Ticlopidine