Thursday, August 22, 2013

The Problem Of Treating Patients With Heart Disease Who Do Not Respond To Plavix

The Problem Of Treating Patients With Heart Disease Who Do Not Respond To Plavix.
Higher doses of the blood-thinner Plavix were no better at preventing resolution attacks, blood clots or extermination than the insigne disgrace prescribe in patients who had received artery-opening stents, new into or shows. The higher dose - magnify the usual amount - was tested in patients with "high platelet reactivity," sense they failed to respond to the drug at lower doses vimax. Plavix (clopidogrel) helps interdict clots from forming in patients who have ineffective platelet reactivity and who have had stents inserted to prop get blocked arteries.

But the new study "doesn't support" physicians using the higher, 150-milligram portion of Plavix after stenting, according to bookwork lead author Dr Matthew Price, who presented the findings Tuesday at the annual tryst of the American Heart Association in Chicago. So, the writing-room leaves an important question unanswered: How to use heart patients who don't respond well to Plavix? "It remains aleatory to some extent," said Dr Abhiram Prasad, an interventional cardiologist with the Mayo Clinic in Rochester, Minn. "It's an substantial examination to have done but the key issues are that a significant arrangement of the patients remained with high platelet reactivity even after being on the higher dose".

Previous, smaller studies had indicated that Plavix might have more of an implication if the measure was doubled. "Platelet reactivity varies widely," noted Price, kingpin of the Cardiac Catheterization Laboratory at the Scripps Clinic in La Jolla, Calif. He explained that numerous studies have shown that a exorbitant reactivity destroy is associated with poorer outcomes after angioplasty and/or stenting. But until now, a bury rise in the amount of Plavix "has not been tested in a large randomized clinical trial," he said.

Crash Risk Rises Even At An Acceptable Level Of Alcohol In The Blood

Crash Risk Rises Even At An Acceptable Level Of Alcohol In The Blood.
Drinking even a solitary spyglass of beer or wine can boost blood-alcohol concentrations enough to strengthen the chances of being seriously injured or slipping away in a crash for those who choose to get behind the wheel, a new study suggests arxlistbox com. Researchers at the University of California, San Diego found that having a blood-alcohol concentration of just 0,01 percent - much humble than the acceptable bridle in the United States of 0,08 percent - increased the chances of being in a life-or-death crash.

In the study, published online June 20 in the newspaper Addiction, researchers analyzed national material on fatal car accidents in the United States between 1994 and 2008. No total of alcohol seemed to be safe for driving, according to the study. Even with hardly detectable amounts of alcohol in a driver's blood, there were 4,33 crucial injuries for every non-serious injury versus 3,17 sober injuries for sober drivers, the investigators found.