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Table 4 Association of high-risk interactive genotypes with platelet aggregation and clinical outcomes

From: Variants in clopidogrel-relevant genes and early neurological deterioration in ischemic stroke patients receiving clopidogrel

 

patients carrying the high-risk interactive genotypes (n = 87)

patients carrying the low-risk interactive genotypes (n = 288)

p value

AA-induced platelet aggregation (%)

 before clopidogrel

85.3 ± 14.8

71.2 ± 17.4

< 0.001

 after 7–10 days clopidogrel

55.5 ± 12.6

35.3 ± 14.9

< 0.001

 inhibition

30.2 ± 9.2

38.1 ± 11.4

< 0.001

ADP-inducedplatelet aggregation (%)

 Before clopidogrel

79.1 ± 16.2

67.9 ± 14.8

< 0.001

 after 7–10 days clopidogrel

45.2 ± 13.2

25.6 ± 8.6

< 0.001

 inhibition

34.9 ± 12.3

46.4 ± 13.6

< 0.001

END (n, %)

34 (39.1)

61 (21.2)

< 0.001

RIS (n, %)

1 (1.1)

2 (0.7)

0.963

MI (n, %)

0 (0.0)

1 (0.3)

0.586

Death (n, %)

1 (1.1)

1 (0.3)

0.754

Safety outcomes

 Asymptomatic HT (n, %)

1 (1.1)

6 (2.1)

0.438

 Asymptomatic ICH (n, %)

1 (1.1)

1 (0.3)

0.754

 Extracranial bleeding (n, %)

2 (2.3)

9 (3.1)

0.443

  1. AA arachidonic acid, ADP adenosine diphosphate, END early neurological deterioration, MI myocardial infarction, RIS recurrent ischemic stroke, HT hemorrhagic transformation, ICH intracerebral hemorrhage