Antiplatelet Therapy for the Prevention of Arterial Ischemic Events in Takayasu Arteritis

Antiplatelet Therapy for the Prevention of Arterial Ischemic Events in Takayasu Arteritis

Author Souza, Alexandre W. S. de Autor UNIFESP Google Scholar
Machado, Natalia P. Autor UNIFESP Google Scholar
Pereira, Vanessa M. Autor UNIFESP Google Scholar
Arraes, Anne E. D. Autor UNIFESP Google Scholar
Reis Neto, Edgard Torres dos Autor UNIFESP Google Scholar
Mariz, Henrique A. Autor UNIFESP Google Scholar
Sato, Emilia Inoue Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Background: Vessel wall inflammation, atherosclerosis and hypercoagulability may be responsible for ischemic events in Takayasu arteritis (TA). No study has evaluated the effect of antiplatelet therapy for the prevention of ischemic events in TA.Methods and Results: Forty-eight patients who met the ACR Classification Criteria for TA under follow-up at the Vasculitis Unit of Universidade Federal de São Paulo were evaluated retrospectively for clinical manifestations, therapy and arterial ischemic events. the mean age at study was 38.0 years and the mean age at TA diagnosis was 29.1 years. Women comprised for 89.6% of patients and 60.4% were Caucasian. Risk factors for cardiovascular disease were found in 44 patients (91.7%) the most commons comorbidities for TA patients were hypertension (77.1%), high low-density lipoprotein (45.8%) and obesity (16.7%). Antiplatelet therapy was used by 62.5% of patients whereas anticoagulants were used by 12.5%. Acute ischemic events occurred in 29.2% of patients. TA patients with ischemic events used significantly less antiplatelet agents (14.3%) than those without ischemic events (82.4%), P<0.0001. No difference concerning ischemic events was observed in patients on anticoagulant therapy (P=0.339). the 3 deaths of TA patients were observed only in those who had presented ischemic events (P=0.021). Antiplatelet agents had a protective effect against ischemic events (hazard ratio=0.055, 95% confidence interval: 0.06-0.514; P=0.011).Conclusions: Antiplatelet therapy is associated with a lower frequency of ischemic events in patients with TA. (Circ J 2010; 74: 1236-1241)
Keywords Aspirin
Cardiovascular diseases
Ischemia
Takayasu arteritis
Language English
Date 2010-06-01
Published in Circulation Journal. Kyoto: Japanese Circulation Soc, v. 74, n. 6, p. 1236-1241, 2010.
ISSN 1346-9843 (Sherpa/Romeo, impact factor)
Publisher Japanese Circulation Soc
Extent 1236-1241
Origin http://dx.doi.org/10.1253/circj.CJ-09-0905
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000278211900033
URI http://repositorio.unifesp.br/handle/11600/32571

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