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Vol 28, No 6 (2021)
Review Article
Submitted: 2020-07-01
Accepted: 2020-10-12
Published online: 2020-11-09
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Antiplatelet effects of prostacyclin analogues: Which one to choose in case of thrombosis or bleeding?

Sylwester P. Rogula1, Hubert M. Mutwil1, Aleksandra Gąsecka1, Marcin Kurzyna2, Krzysztof J. Filipiak1
DOI: 10.5603/CJ.a2020.0164
·
Pubmed: 33200814
·
Cardiol J 2021;28(6):954-961.
Affiliations
  1. 1st Chair and Department of Cardiology, Medical University of Warsaw, Poland
  2. Department of Pulmonary Circulation, Thromboembolic Diseases and Cardiology, Center of Postgraduate Education Medical, European Health Center Otwock, Poland

open access

Vol 28, No 6 (2021)
Review articles — Clinical cardiology
Submitted: 2020-07-01
Accepted: 2020-10-12
Published online: 2020-11-09

Abstract

Prostacyclin and analogues are successfully used in the treatment of pulmonary arterial hypertension (PAH) due to their vasodilatory effect on pulmonary arteries. Besides vasodilatory effect, prostacyclin analogues inhibit platelets, but their antiplatelet effect is not thoroughly established. The antiplatelet effect of prostacyclin analogues may be beneficial in case of increased risk of thromboembolic events, or undesirable in case of increased risk of bleeding. Since prostacyclin and analogues differ regarding their potency and form of administration, they might also inhibit platelets to a different extent. This review summarizes the recent evidence on the antiplatelet effects of prostacyclin and analogue in the treatment of PAH, this is important to consider when choosing the optimal treatment regimen in tailoring to an individual patients’ needs.

Abstract

Prostacyclin and analogues are successfully used in the treatment of pulmonary arterial hypertension (PAH) due to their vasodilatory effect on pulmonary arteries. Besides vasodilatory effect, prostacyclin analogues inhibit platelets, but their antiplatelet effect is not thoroughly established. The antiplatelet effect of prostacyclin analogues may be beneficial in case of increased risk of thromboembolic events, or undesirable in case of increased risk of bleeding. Since prostacyclin and analogues differ regarding their potency and form of administration, they might also inhibit platelets to a different extent. This review summarizes the recent evidence on the antiplatelet effects of prostacyclin and analogue in the treatment of PAH, this is important to consider when choosing the optimal treatment regimen in tailoring to an individual patients’ needs.

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Keywords

prostacyclin analogues, pulmonary arterial hypertension, platelets, antiplatelet effect, thrombosis, bleeding

About this article
Title

Antiplatelet effects of prostacyclin analogues: Which one to choose in case of thrombosis or bleeding?

Journal

Cardiology Journal

Issue

Vol 28, No 6 (2021)

Article type

Review Article

Pages

954-961

Published online

2020-11-09

Page views

7121

Article views/downloads

1461

DOI

10.5603/CJ.a2020.0164

Pubmed

33200814

Bibliographic record

Cardiol J 2021;28(6):954-961.

Keywords

prostacyclin analogues
pulmonary arterial hypertension
platelets
antiplatelet effect
thrombosis
bleeding

Authors

Sylwester P. Rogula
Hubert M. Mutwil
Aleksandra Gąsecka
Marcin Kurzyna
Krzysztof J. Filipiak

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