Prevalence of aspirin resistance in patients with type II diabetes: a descriptive-analytical study

Int J Clin Pharmacol Ther. 2017 Jun;55(6):493-497. doi: 10.5414/CP202637.

Abstract

Background: Aspirin resistance is one of the most important factors for arterial thrombotic events in diabetic patients. This study aimed to evaluate aspirin resistance in diabetic patients.

Methods: In this cross-sectional study, 180 patients who received 80 mg of aspirin daily for at least 10 days were studied, and their urinary 11-DH-TXB2 was measured. Those with 11-dehydro-thromboxane B2 above 1,500 pg/mg creatinine were considered aspirin resistant. Data with significance level of 5% were analyzed in SPSS-16.

Results: The mean ± SD of patient age was 60.22 ± 9.59 years and 50% (n = 90) were male. BMI was normal in 29.4% of the patients (n = 53), the others were overweight or obese. Aspirin resistance was observed in 33 (18%) patients. The relationship between aspirin resistance and gender, age, and BMI was not significant (p > 0.05).

Conclusions: There is a high prevalence of aspirin resistance in diabetic patients and given that such patients are at risk of arterial thrombotic events, evaluation of aspirin resistance is suggested for those at a high risk of cardiovascular events or recurring events despite the use of aspirin. .

MeSH terms

  • Aged
  • Aspirin / therapeutic use*
  • Cross-Sectional Studies
  • Diabetes Mellitus, Type 2 / complications*
  • Drug Resistance
  • Female
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Prevalence

Substances

  • Aspirin