Effectiveness of aspirin vs. clopidogrel
Effectiveness of aspirin vs. clopidogrel in dogs with immune mediated haemolytic anaemia evaluated by serial thromboelastography and platelet mapping
This research work was funded by the Canine Research Foundation and published in The Veterinary Journal - Congratulations to Christine Griebsch and her research team.
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C. Griebsch, E. Hall, V.R. Barrs 10.1016/j.tvjl.2022.105882
Immune mediated haemolytic anaemia (IMHA) is an autoimmune disease in which the immune system attacks and destroys red blood cells resulting in anaemia. Most dogs with IMHA have a high tendency to develop blood clots (hypercoagulability) which can result in life threatening complications if these blood clots obstruct important blood vessels, eg in the lungs (pulmonary thromboembolism). Blood platelets (thrombocytes) play an important part in clot formation.
To determine if hypercoagulability is present platelet function analyzers such as thromboelastography (TEG) are used which give a graphical overview of clot formation over time. To prevent clot formation antiplatelet drugs such as aspirin or clopidogrel have been used however it is unknown which drug is more effective. Thromboelastography-platelet mapping (TEG-PM) has been used to assess platelet function in human patients treated with aspirin or clopidogrel.
The aim of this study was to do the same in dogs and compare the effectiveness of aspirin versus clopidogrel in inhibiting platelet function in dogs with IMHA.
Overall, there was no significant difference in efficacy between aspirin and clopidogrel based on results of TEG-PM however in some dogs, there was a discrepancy between TEG-PM results and clinical response with some dogs developing thromboembolism despite seemingly responding well to treatment with aspirin or clopidogrel. In summary, TEG-PM might be useful to monitor response to treatment and adjust therapy however further studies are needed.
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