Oporność na kwas acetylosalicylowy i jego kliniczne znaczenie Artykuł przeglądowy

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Marek Postuła
Agnieszka Kapłon

Abstrakt

Pod pojęciem aspirynooporności rozumiemy brak zahamowania syntezy tromboksanu A2 pomimo przyjmowania kwasu acetylosalicylowego, czego wynikiem jest zachowana aktywacja i agregacja płytek krwi. Zjawisko aspirynooporności może zostać rozpoznane na podstawie testów laboratoryjnych oceniających stężenie tromboksanu A2 lub funkcji płytek zależnej od tromboksanu. Potencjalne przyczyny aspirynooporności obejmują nieprawidłową dawkę, interakcje lekowe, polimorfizmy genu COX-1 oraz innych genów związanych z syntezą tromboksanu, syntezę tromboksanu niezależną od płytek krwi oraz zwiększony obrót płytek. Zwiększony stopień aspirynooporności koreluje ze wzrostem ryzyka zdarzeń sercowo-naczyniowych. Zmienność odpowiedzi na kwas acetylosalicylowy może częściowo tłumaczyć utrzymujące się podwyższone ryzyko ponownego zdarzenia naczyniowego u pacjentów przewlekle leczonych przeciwpłytkowo.

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Postuła , M., & Kapłon , A. (2007). Oporność na kwas acetylosalicylowy i jego kliniczne znaczenie. Kardiologia W Praktyce, 1(3), 144-151. Pobrano z https://www.journalsmededu.pl/index.php/kwp/article/view/1708
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