Evidence map›Paper›PMID 39009080›Full record

ArticleIndian heart journal

Clopidogrel resistance and its effect on clinical outcomes in acute coronary syndrome.

Heemanshu Lodhi, Keshavamurthy Ganapathy Bhat, Vivek Singh Guleria, Ratheesh Kumar Janardhana Pillai, Ribhu Goel, Nitin Sharma, Anuka Sharma, Varun Sharma

Abstract read
In one paragraph

Article in Indian heart journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Frequencies ofBiomedicines · 2026
    Article
  2. Article
  3. Beyond CYP2C19: inflammation and angiogenesis gene variants drive clopidogrel resistance in CAD patients.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Article
  4. Impact ofPharmacogenomics
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Heemanshu LodhiDepartment of Cardiology, Army Hospital Research and Referral, Delhi Cantonment, New Delhi, 110010, India. Electronic address: heemanshulodhi@gmail.com.
Keshavamurthy Ganapathy BhatDepartment of Cardiology, Army Hospital Research and Referral, Delhi Cantonment, New Delhi, 110010, India.
Vivek Singh GuleriaDepartment of Cardiology, Army Hospital Research and Referral, Delhi Cantonment, New Delhi, 110010, India.
Ratheesh Kumar Janardhana PillaiDepartment of Cardiology, Army Hospital Research and Referral, Delhi Cantonment, New Delhi, 110010, India.
Ribhu GoelDepartment of Cardiology, Army Hospital Research and Referral, Delhi Cantonment, New Delhi, 110010, India.
Nitin SharmaDepartment of Cardiology, Army Hospital Research and Referral, Delhi Cantonment, New Delhi, 110010, India.
Anuka SharmaNMC Genetics India Private Limited, Gurugram, Haryana, 122001, India.
Varun SharmaNMC Genetics India Private Limited, Gurugram, Haryana, 122001, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe genetic polymorphism of CYP2C19 influences clopidogrel metabolism and resistance. Aim was to assess the association between CYP2C19 loss of function variation, clopidogrel resistance based on platelet reactivity units and clinical outcomes.

methodsA total of 668 patients of Acute Coronary Sundrome (ACS) who underwent Percutaneous Coronary Intervention (PCI) were subjected to genetic screening and 143 patients undrewent platelet function test to study the association between drug metabolization and its effects based on platelet reactivity unit values.

resultsClopidogrel resistance with CYP2C 19 loss of function variation was noted in 54.64% of patients. Clinical outcomes, such as target vessel revascularization, target lesion revascularization, in-stent restenosis, and stent thrombosis, were also studied.

conclusionCYP2C19 loss of function variation is strongly associated with clopidogrel resistance and adverse clinical outcomes.

Indexed as

Acute Coronary SyndromeClopidogrelCytochrome P-450 CYP2C19Drug ResistancePercutaneous Coronary InterventionPlatelet Aggregation InhibitorsFemaleFollow-Up StudiesGenotypeHumansMaleMiddle AgedPlatelet Function TestsPolymorphism, GeneticRetrospective StudiesClopidogrelCYP2C19 protein, humanCytochrome P-450 CYP2C19Platelet Aggregation InhibitorsAcute coronary syndromeClopidogrel resistanceCYP2C19

Identifiers

PMID39009080
PMCPMC11451421

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.