Published in:
01-02-2013 | Editorial
Toward a guided approach to platelet activation in diabetes
Author:
M. D. Linden
Published in:
Journal of Thrombosis and Thrombolysis
|
Issue 2/2013
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Excerpt
Diabetes is associated with substantially poorer cardiovascular outcomes. Furthermore, people with diabetes are at greatly increased risk of not responding to standard anti-platelet therapy for acute coronary syndromes, leading to higher mortality and stent thrombosis [
1]. Poor glucose control likely contributes to these cardiovascular events through changes in platelet membrane fluidity and signalling, increased production of platelets leading to a greater fraction of younger and more reactive platelets not yet exposed to antiplatelet therapy, and increased triggering of platelet activation arising from an underlying thromboinflammatory milieu [
2]. …