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May 15, 2021Expert Review of Clinical PharmacologyOpen Access

Genetic testing in patients undergoing percutaneous coronary intervention: rationale, evidence and practical recommendations

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Why the study?

Clopidogrel has broad interindividual response variability linked to CYP2C19 genetic variations, while potent alternatives increase bleeding risk, prompting the need to appraise genetic testing to guide P2Y12 inhibitor selection.

Does genetic testing-guided selection of P2Y12 inhibitors improve outcomes in patients undergoing PCI?

Population

Patients undergoing PCI

Design

Review

Key result

Genetic-guided selection of antiplatelet therapy in patients undergoing PCI represents a promising precision medicine strategy for escalating or de-escalating P2Y12 inhibiting therapy.

Authors

MGMattía GalliFFFrancesco FranchiFRFabiana Rollini

Discussion

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Member takes

Overview

Supports genotype-guided P2Y12 inhibitor selection to balance ischemic and bleeding risks;.

Structured PICO

Does genetic testing-guided selection of P2Y12 inhibitors improve outcomes in patients undergoing PCI?

P
Population
Patients undergoing percutaneous coronary intervention (PCI)
I
Intervention
Genetic testing to guide the selection of platelet P2Y12 inhibitors (clopidogrel, prasugrel, ticagrelor)

Integrating genetic testing with clinical and procedural variables offers a promising precision medicine approach for selecting antiplatelet therapy in PCI patients.

Cite This Study

Galli et al. (2021) conducted a review in Patients undergoing percutaneous coronary intervention (PCI). Genetic testing to guide selection of platelet P2Y12 inhibitors was evaluated. Genetic-guided selection of antiplatelet therapy in patients undergoing PCI represents a promising precision medicine strategy for escalating or de-escalating P2Y12 inhibiting therapy.

synapsesocial.com/papers/6a78a7d03da069e66cbe19c5https://doi.org/10.1080/17512433.2021.1927709
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