Review Article

Aspirin Resistance

Table 1

Prevalence of aspirin resistance.

ReferencePatientsTest usedPrevalence of ARComments
N(%)

Christiaens et al. [32] PFA-100 analyzer29 (29.9) (38 versus 15%)
Stable CAD patients already on aspirinNo clinical correlation with laboratory parameters after 2.5 years follow-up

Pamukcu et al. [33] PFA-100 analyzer52 (22.2)Similar risk in resistant and nonresistant patients after months follow-up. Risk in aspirin resistant patients increased after cessation of clopidogrel
Stable CAD

Pamukcu et al. [34] PFA-100 analyzer20 (19)Greater risk of MACE in patients resistant to aspirin
ACS

Akay et al. [35] Optical platelet aggregometry77 (27.5)Large trial evaluating the frequency of AR in healthy subjects
Healthy Turkish volunteers(ADP, AA)

Lee et al. [36] VerifyNow-Aspirin128 (27.4)100 mg or less daily dose were associated with a higher incidence of AR in patients with CAD
Stable CAD    

Harrison et al. [30]   PFA-10022 (22) Poor agreement between the different tests leads to the conclusion that aspirin resistance is highly test-specific
Patients after TIA or StrokeVerifyNow-Aspirin17 (17)
Optical platelet aggregometry5 (5)

Gum et al. [28] Optical platelet aggregometry18 (5.5) Trend toward increased age in patients with AR
Stable CADPFA-100 analyzer31 (9.5)

AR: aspirin resistance; CAD: coronary artery disease; ACS: acute coronary syndrome; MACE: major adverse cardicac events; ADP: adenosine diphosphate; AA: arachidonic acid; TIA: transient ischemic attack.