Coronary Artery Disease Clinical Trial
Official title:
Is a Reduced Biochemical Response to Aspirin Associated With Increased Cardiovascular Morbidity and Mortality in High Risk Patients With Coronary Artery Disease?
Previous studies indicate that patients with cardiovascular disease have a variable response
to aspirin. Despite treatment with aspirin a large number of patients suffer a myocardial
infarction. This has given rise to the phenomenon "aspirin low-responsiveness". Laboratory
aspirin low-responsiveness can be defined as the failure of aspirin to inhibit platelet
production of thromboxane A2 or inhibit thromboxane-dependent platelet aggregation. Whether
a low platelet response to aspirin results in an increased risk of future thrombotic events
is of great clinical significance, but is still unknown.
The investigators hypothesize that patients with a reduced response to aspirin, determined
by platelet aggregation using the apparatus Verify Now Aspirin and Multiplate, have a higher
risk of thrombosis.
The purpose of this study is to investigate whether a higher incidence of cardiovascular
events is found in patients with coronary artery disease (CAD) having a reduced biochemical
response to aspirin compared with CAD patients having a normal biochemical response to
aspirin. In addition to CAD, all patients have at least one of the following risc factors:
previous myocardial infarction, type 2 diabetes mellitus and/or renal insufficiency.
n/a
Observational Model: Cohort, Time Perspective: Prospective
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