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J Am Coll Cardiol, 2009; 54:1149-1153, doi:10.1016/j.jacc.2009.05.050
© 2009 by the American College of Cardiology Foundation
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Comparison of Omeprazole and Pantoprazole Influence on a High 150-mg Clopidogrel Maintenance Dose

The PACA (Proton Pump Inhibitors And Clopidogrel Association) Prospective Randomized Study

Thomas Cuisset, MD*,{dagger},{ddagger},*, Corinne Frere, MD{dagger},{ddagger}, Jacques Quilici, MD*, Raphael Poyet, MD*, Bénédicte Gaborit, MD{dagger},{ddagger}, Laurent Bali, MD*, Olivier Brissy, MD*, Pierre-Emmanuel Morange, MD, PhD{dagger},{ddagger}, Marie-Christine Alessi, MD, PhD{dagger},{ddagger} and Jean-Louis Bonnet, MD*

* Département de Cardiologie, CHU Timone, Marseille, France
{dagger} Laboratoire d'Hématologie, CHU Timone, Marseille, France
{ddagger} INSERM, UMR 626, Faculté de Médecine, Marseille, France


Figure 1
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Figure 1 Design of the Study

ADP = adenosine diphosphate; T0 = baseline level; VASP = vasoactive stimulated phosphoprotein.

 

Figure 2
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Figure 2 Platelet Parameters and According to Proton Pump Inhibitors

Clopidogrel response with platelet reactivity index vasoactive stimulated phosphoprotein (PRI VASP) (A) and platelet reactivity with adenosine diphosphate–induced platelet aggregation (ADP-Ag) (B) according to proton pump inhibitor treatment.

 

Figure 3
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Figure 3 Prevalence of Clopidogrel Nonresponders

Prevalence of clopidogrel nonresponders (platelet reactivity index vasoactive stimulated phosphoprotein >50%) according to proton pump inhibitor treatment.

 




 
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