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Incidence and Clinical Course of Thrombotic Thrombocytopenic Purpura Due to Ticlopidine Following Coronary Stenting

Article Abstract:

The anticoagulant drug ticlopidine can cause thrombotic thrombocytopenic purpura (TTP), which can be fatal if not treated. Ticlopidine is often given to patients who are receiving a stent, which is a small cylindrical device inserted into blocked arteries to keep them open. During a one-year period, 19 patients who received ticlopidine developed TTP, which is characterized by anemia, low blood platelet counts and bleeding into the skin. This is an incidence of 1 case of TTP for every 4,814 patients treated, or 0.02%. This is much higher than the 0.0004% incidence of TTP in the general population. Four patients died but none of the 13 who received plasmapheresis died.

Author: Topol, Eric J., Foody, JoAnne M., Steinhubl, Steven R., Tan, Walter A.
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1999
Causes of, Complications and side effects, Thrombocytopenic purpura, Ticlopidine

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Effects of a 5-lipoxygenase-activating protein inhibitor on biomarkers associated with risk of myocardial infarction: A randomized trial

Article Abstract:

A study is conducted to determine the effect of an inhibitor of 5-lipoxygenase-activating protein (FLAP) on levels of biomarkers associated with myocardial infarction (MI) risk. It is concluded that in patients with specific at-risk variants of 2 genes in the leukotriene pathway, DG-031 led to significant and dose-dependent suppression of biomarkers that are associated with increased risk of MI events.

Author: Topol, Eric J., Stefansson, Kari, Kong, Augustine, Kristjansson, Kristleifur, Hakonarson, Hakon, Andresdottir, Margret, Zink, Florian, Gudbjartsson, Daniel, Helgadottir, Anna, Thorvaldsson, Sverrir, Manolescu, Andrei, Jonsson, Asgeir, Thorgeirsson, Gestur, Sigurdsson, Axel, Andersen, Karl, Arnar, David O., Agnarsson, Uggi, Adalsteinsdottir, Asdis E., Gudmundsdottir, Hrefna, Einarsson, Atli, Gottskalksson, Gizur, Bjornsdottir, Halldora, Gudmundsson, Kolbeinn, Gulcher, Jeffrey, Kristinsson, Arni, Hardarson, Thordur, Thorgeirssonj, Gudmundur, Gurney Mark
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2005
Risk factors, Heart attack, Leukotrienes, Biological markers

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The Genomics gold rush

Article Abstract:

Human genetic studies have assumed a totally new look with high-throughput genotyping and such genome-wide association studies are very helpful in the detection of most ailments.

Author: Topol, Eric J., Murray, Sarah S., Frazer, Kelly A.
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2007
Usage, Human genetics, Genetic markers, Medical genetics

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Subjects list: United States, Research
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