A Contemporary Review of Antiplatelet Therapies in Current Clinical Practice

Int J Mol Sci. 2023 Jul 5;24(13):11132. doi: 10.3390/ijms241311132.

Abstract

Antiplatelet therapy plays a crucial role in a number of cardiovascular disorders. We currently have a range of antiplatelet agents in our armamentarium. In this review, we aim to summarise the common antiplatelet agents currently available, and their use in clinic practice. We not only highlight recent trials exploring antiplatelet therapy in atherosclerotic cardiovascular disease, but also in trials related to transcatheter aortic valve implantation and coronavirus disease 2019. Inevitably, the antithrombotic benefits of these drugs are accompanied by an increase in bleeding complications. Therefore, an individualised approach to weighing each patient's thrombotic risk versus bleeding risk is imperative, in order to improve clinical outcomes.

Keywords: acute coronary syndrome; antiplatelet therapy; atherosclerotic vascular disease; coronary artery bypass graft surgery; coronavirus 2019; ischaemic heart disease; peripheral vascular disease; stroke; transcatheter aortic valve implantation.

Publication types

  • Review

MeSH terms

  • Anticoagulants
  • COVID-19*
  • Fibrinolytic Agents / therapeutic use
  • Humans
  • Platelet Aggregation Inhibitors / therapeutic use
  • Transcatheter Aortic Valve Replacement*
  • Treatment Outcome

Substances

  • Platelet Aggregation Inhibitors
  • Fibrinolytic Agents
  • Anticoagulants

Grants and funding

This research received no external funding.