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September 1, 2000Cardiovascular ResearchOpen Access

Differential antiplatelet efficacy for various GPIIb/IIIa antagonists Role of plasma calcium levels

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Why the study?

Does the method of blood collection and resulting plasma calcium levels affect the antiplatelet efficacy of different classes of GPIIb/IIIa antagonists in human platelets?

Population

Activated human platelets from blood treated with citrate or heparin

Comparison

Class I and Class II GPIIb/IIIa antagonists vs Different calcium concentrations

Design

Preclinical

Authors

SMShaker A. MousaUniversity of North Carolina at Chapel Hill

Discussion

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Implication

In vitro potency of Class II GPIIb/IIIa antagonists may vary with anticoagulant; hypothesis-generating for calcium effects on human platelet testing.

Structured PICO

Does the method of blood collection and resulting plasma calcium levels affect the antiplatelet efficacy of different classes of GPIIb/IIIa antagonists in human platelets?

P
Population
Activated human platelets from blood treated with citrate or heparin
I
Intervention
Class I (Roxifiban, Abciximab) and Class II (Orbofiban, Integrilin) GPIIb/IIIa antagonists
C
Comparator
Different calcium concentrations (citrate vs. heparin or PPACK)
O
Outcome
Antiplatelet efficacy (IC50s) and platelet binding kineticssurrogate

The antiplatelet efficacy of class II, but not class I, GPIIb/IIIa antagonists is significantly impacted by plasma calcium levels and the method of blood collection.

Cite This Study

Shaker A. Mousa (2000) studied this question.

synapsesocial.com/papers/6a6fa161ac440176ef284c00https://doi.org/10.1016/s0008-6363(00)00150-4
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Also Consider

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