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Volume 358:1638-1639 April 10, 2008 Number 15
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Platelet Activation and Atherothrombosis

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 by Davì, G.
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To the Editor: In their review of platelet activation and atherothrombosis, Davì and Patrono (Dec. 13, 2007, issue)1 state that "the clinical benefit associated with P2Y12 blockade by clopidogrel in patients receiving aspirin is relatively modest and inconsistent." However, combining aspirin and clopidogrel is beneficial in certain subgroups. In one study, after percutaneous coronary intervention, combination therapy for 1 year was associated with a 26.9% relative reduction in the combined risk of death, myocardial infarction, or stroke.2 The addition of clopidogrel (300 mg in a loading dose, then 75 mg daily) to aspirin also improved patency rates for the infarct-related . . . [Full Text of this Article]




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