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Higher antiplatelet dose. (Clinical Capsules).

Internal Medicine News

| November 15, 2002 | Moon, Mary Ann | COPYRIGHT 2002 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

Among patients about to undergo percutaneous coronary intervention (PCI), those with the most severe angina may be somewhat resistant to antiplatelet pretreatment and may require doses much higher than standard to ward off complications, said Dr. Daniel Soffer of William Beaumont Hospital, Royal Oak, Mich., and his associates.

Recent data suggested that a high pre-procedure loading dose (450 mg) of clopidogrel would achieve greater platelet inhibition and would act more rapidly than the standard 300-mg loading dose in patients undergoing PCI for angina. But platelet function studies were not performed, and the impact of angina class on the degree of platelet ...

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