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Clin Appl Thromb Hemost ; 18(2): 174-80, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-21949037

RESUMO

BACKGROUND: The antiplatelet effect of acetylsalicylic acid (ASA) varies among individual patients. We assessed the short-term reproducibility (STR) and long-term reproducibility (LTR) of light transmission aggregometry (LTA). METHODS: Residual platelet reactivity was measured twice using LTA in a group of 207 consecutive patients (56 females, mean age 67 ± 9 years) on ASA therapy in 10 ± 6 months interval. The STR was assessed in 15 patients (6 females, mean age 61 ± 7 years) with 10 measurements on 2 consecutive days. RESULTS: There was no correlation between both measurements in the long-term part of the study, and also Bland-Altman plot showed a diverging pattern. However, LTA STR was good with a correlation coefficient of .800 (P < .05) confirmed by Bland-Altman plot. CONCLUSIONS: Although short-term intraindividual reproducibility of LTA assessment of platelet reactivity is very good, in the long-term perspective the antiplatelet ASA effectivity may be influenced by additional variables and repeated measurements are warranted.


Assuntos
Aspirina/farmacologia , Nefelometria e Turbidimetria/métodos , Inibidores da Agregação Plaquetária/farmacologia , Agregação Plaquetária/efeitos dos fármacos , Testes de Função Plaquetária/métodos , Idoso , Área Sob a Curva , Doenças Cardiovasculares/sangue , Interações Medicamentosas , Impedância Elétrica , Feminino , Seguimentos , Hirudinas/farmacologia , Humanos , Nefropatias/sangue , Masculino , Pessoa de Meia-Idade , Obesidade/sangue , Estudos Prospectivos , Reprodutibilidade dos Testes , Fumar/sangue , Fatores de Tempo
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