Modern trends in antiplatelet therapy in patients with diabetes mellitus

Authors: Matej Samoš 1;  Tomáš Bolek 1;  Rid Škorňová 2;  Ján Staško 2;  Peter Galajda 1;  Marián Mokáň 1
Authors‘ workplace: I. interná klinika Jesseniovej LF UK a UNM, Martin 1;  Národné centrum trombózy a hemostázy, Klinika hematológie a transfuziológie Jesseniovej LF UK, Martin 2
Published in: Forum Diab 2019; 8(2): 128-132


Type 2 diabetes mellitus (T2DM) is an independent risk factor of coronary atherosclerosis, including acute coronary syndromes (ACS). Antiplatelet (antiaggregant) therapy forms currently the basis of pharmacological treatment of ACS, and also the basis of pharmacological prevention of future ischemic events in patients with stable coronary artery disease, including those undergoing elective percutaneous coronary interventions (PCI). However, there are several reports pointing on a possible failure of this therapy which could be directly associated with T2DM. In fact, these observations lead to the introduction of novel potent ADP receptor blockers which enriched the possibilities of antiplatelet therapies in patients with T2DM and ACS (prasugrel, ticagrelor and cangrelor); and also in those undergoing elective PCI (cangrelor). This paper summarizes the modern antiplatelet strategies in patients with T2DM.


acute coronary syndrome – antiplatelet therapy – percutaneous coronary intervention – type 2 diabetes mellitus

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