Coronary Arteriosclerosis
Conditions
Brief summary
This study is a randomized open label study that implies the administration of asprin according to three different regimens. The aims of the study are: * to establish whether coronary artery bypass surgery and / or aortic valve replacement surgery with bioprostheses is associated with changes in the rate of platelet regeneration that can reduce the effectiveness of aspirin administered at a dose of 100mg/die in terms of inhibition of platelet biosynthesis of thromboxane A2. * to determine whether these patients need a different (shorter) interval of administration in order to completely and permanently inhibit the platelet COX-1. The endpoints of this study are: \- To evaluate the changes in the levels of TXB2 and 12-HETE in serum at 12 and 24 hours after administration of aspirin and the changes in the levels of 11-dehydro TXB2 urinary 8-iso-PGF2 alpha urinary, 2-3 dinor-6-chetoPGF1 alpha, Verify-NOW Aspirin, platelets crosslinked at 12 and 24 hours after administration of aspirin
Interventions
single-dose aspirin in 100 mg 1 tablet every 24 hours
Sponsors
Study design
Eligibility
Inclusion criteria
* informed consent of the study signed * coronary artery bypass graft and / or aortic valve replacement surgery with bioprostheses * age between 55 and 80 * ejection fraction \> 30%.
Exclusion criteria
* excessive bleeding (\> 1000mL / 6 h) or the need of re operation for bleeding * perioperative myocardial infarction * stroke or renal failure requiring dialysis and need waiting for post-operative anticoagulation * patients undergoing coronary artery bypass grafting procedure as a consequence of failed percutaneous coronary intervention * patients undergoing off-pump coronary artery bypass graft * overt kidney or liver disease * therapies that influence the coagulation * fertile women
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| change in the levels of TXB2 in serum at 12 and 24 hours after administration of aspirin | one year |
| change in the levels of 12-HETE in serum at 12 and 24 hours after administration of aspirin | one year |
Secondary
| Measure | Time frame |
|---|---|
| change in the levels of 11-dehydro TXB2 urinary at 12 and 24 hours after administration of aspirin | one year |
| change in the levels of 8-iso-PGF2 alpha urinary at 12 and 24 hours after administration of aspirin | one year |
| change in the levels of 2-3 dinor-6-chetoPGF1 alpha at 12 and 24 hours after administration of aspirin | one year |
| change in the levels of Verify-NOW Aspirin, platelets crosslinked at 12 and 24 hours after administration of aspirin | one year |
Countries
Italy