Research Topics
| Steven R SteinhublSummaryAffiliation: University of Kentucky Country: USA Publications
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Publications
The role of the platelet in the pathogenesis of atherothrombosisSteven R Steinhubl
The Gill Heart Institute and Division of Cardiovascular Medicine, University of Kentucky College of Medicine, Lexington, Kentucky 40536 0284, USA
Am J Cardiovasc Drugs 5:399-408. 2005..Elucidation of the multiple mechanisms involved in platelet thrombus formation provides opportunities for selectively inhibiting the pathways most relevant to the pathophysiology of atherothrombosis...
Optimal timing for the initiation of pre-treatment with 300 mg clopidogrel before percutaneous coronary interventionSteven R Steinhubl
Linda and Jack Gill Heart Institute, University of Kentucky, Lexington, Kentucky, USA
J Am Coll Cardiol 47:939-43. 2006..This study sought to determine the optimal timing of a 300-mg clopidogrel loading dose before percutaneous coronary intervention (PCI) in patients enrolled in the Clopidogrel for the Reduction of Events During Observation (CREDO) trial...
Platelets as mediators of inflammationSteven R Steinhubl
Division of Cardiology, University of Kentucky, 900 South Limestone Avenue, 326 Charles T Wellington Building, Lexington, KY 40536 0200, USA
Hematol Oncol Clin North Am 21:115-21. 2007....
Variation in the definitions of bleeding in clinical trials of patients with acute coronary syndromes and undergoing percutaneous coronary interventions and its impact on the apparent safety of antithrombotic drugsSteven R Steinhubl
Gill Heart Institute, University of Kentucky, Lexington, KY 40536 0284, USA
Am Heart J 154:3-11. 2007....
Clinical evidence for anti-inflammatory effects of antiplatelet therapy in patients with atherothrombotic diseaseSteven R Steinhubl
Division of Cardiology, University of Kentucky, Lexington, KY 40536 0200, USA
Vasc Med 12:113-22. 2007....
Transitioning patients from cangrelor to clopidogrel: pharmacodynamic evidence of a competitive effectSteven R Steinhubl
Division of Cardiology, Department of Pharmacy Practice and Science, University of Kentucky, Lexington, Kentucky 40536 0200, USA
Thromb Res 121:527-34. 2008..As many individuals treated acutely with cangrelor will often be treated long-term with a thienopyridine, it is important to determine the effects of concurrent cangrelor and clopidogrel administration...
Determining the efficacy of antiplatelet therapies for the individual: lessons from clinical trialsSteven R Steinhubl
Division of Cardiology, University of Kentucky, 900 S Limestone Ave, 326 Charles T Wethington Bldg, Lexington, KY 40536, USA
J Thromb Thrombolysis 26:8-13. 2008....
Risk stratifying the acute coronary syndrome patient: a focus on treatable riskSteven R Steinhubl
Gill Heart Institute, University of Kentucky, Lexington, Kentucky, USA
Rev Cardiovasc Med 8:S3-8. 2007..Although the ACC/AHA Guidelines combine patients with unstable angina and NSTEMI, it is essential to evaluate troponin status in order to optimize patient outcomes and safety in the treatment of suspected ACS...
Considerable variability in platelet activity among patients with coronary artery disease in response to an increased maintenance dose of clopidogrelJulie H Oestreich
Department of Pharmaceutical Sciences, University of Kentucky, Lexington, KY 40536 0293, USA
Coron Artery Dis 20:207-13. 2009..Studies have shown that the mean aggregation response to clopidogrel can be changed by a higher maintenance dose. However, these studies have not focused on individual changes...
Optimizing antiplatelet therapy for the ACS patient: reacting to clinical trial data from the ISAR-REACT-2 studiesSteven R Steinhubl
Gill Heart Institute, University of Kentucky, Lexington, Kentucky, USA
Rev Cardiovasc Med 7:S12-9. 2006..All of this benefit was confined to the patients with elevated troponin levels. The data indicate that troponin can be used as a biomarker to identify patients most likely to benefit from the addition of a GP IIb/IIIa antagonist...
Platelet activation and its patient-specific consequencesSusan S Smyth
Division of Cardiology, University of Kentucky, Lexington, USA
Thromb Res 122:435-41. 2008..These phenomena may help to explain differences in experimental arterial thrombosis observed in individuals...
Clinical outcomes of patients with diabetic nephropathy randomized to clopidogrel plus aspirin versus aspirin alone (a post hoc analysis of the clopidogrel for high atherothrombotic risk and ischemic stabilization, management, and avoidance [CHARISMA] triArijit Dasgupta
Gill Heart Institute, University of Kentucky, Lexington, Kentucky, USA
Am J Cardiol 103:1359-63. 2009..In conclusion, this post hoc analysis suggested that clopidogrel may be harmful in patients with diabetic nephropathy. Additional studies are needed to investigate this possible interaction...
Early and sustained dual oral antiplatelet therapy following percutaneous coronary intervention: a randomized controlled trialSteven R Steinhubl
Division of Cardiology, University of North Carolina, CB 7075, 338 Burnett Womack Bldg, Chapel Hill, NC 27599, USA
JAMA 288:2411-20. 2002..Also, although current clinical data suggest a benefit for beginning therapy with a clopidogrel loading dose prior to PCI, the practical application of this therapy has not been prospectively studied...
Impact of clopidogrel in patients with acute coronary syndromes requiring coronary artery bypass surgery: a multicenter analysisJeffrey S Berger
Division of Cardiology, Duke University School of Medicine, Duke Clinical Research Institute, Durham, North Carolina 27705, USA
J Am Coll Cardiol 52:1693-701. 2008..S. hospitals...
Oral antiplatelet therapy for percutaneous coronary revascularizationHussam Hamdalla
Gill Heart Institute and Division of Cardiovascular Medicine, University of Kentucky, Lexington, Kentucky, USA
Catheter Cardiovasc Interv 69:637-42. 2007..This review will highlight these data as well as emphasize the gaps in our understanding. (c) 2007 Wiley-Liss, Inc...
The evolving algorithm concerning higher-risk PCI (TEACH-PCI). IntroductionSteven R Steinhubl
Gill Heart Institute, University of Kentucky, Lexington, Kentucky, USA
Rev Cardiovasc Med 8:S1-2. 2007
Impact of drug-eluting stents on outcomes of patients with end-stage renal disease undergoing percutaneous coronary revascularizationPranab Das
Division of Cardiovascular Medicine, Gill Heart Institute, University of Kentucky and the VA Medical Center, Lexington, Kentucky 40536-0200, USA
J Invasive Cardiol 18:405-8. 2006..However, in ESRD patients undergoing coronary revascularization, DES use is effective in reducing 9-month TVR and the composite of death, MI and TVR...
Incidence and prevention of ischemic stroke following myocardial infarction: review of current literatureMonisha Dutta
Department of Neurology, University of Kentucky, Lexington, KY 40536, USA
Cerebrovasc Dis 22:331-9. 2006..We discuss the incidence, pathophysiology, and management options of non-hemorrhagic stroke following a myocardial infarction...
G-protein-coupled receptors as signaling targets for antiplatelet therapySusan S Smyth
Veterans Affairs Medical Center, Department of Medicine, Physiology, and Pharmacology, University of Kentucky, Lexington, KY, USA
Arterioscler Thromb Vasc Biol 29:449-57. 2009..The identification and development of new agents directed against specific platelet signaling pathways may offer an advantage in preventing thrombotic events while minimizing bleeding risk...
Bleeding events are associated with an increase in markers of inflammation in acute coronary syndromes: an ACUITY trial substudyCharles L Campbell
Gill Heart Institute, University of Kentucky, 326 Charles T Wethington Building, 900 South Limestone, Lexington, KY 40536 0293, USA
J Thromb Thrombolysis 31:139-45. 2011..3.60, P = 0.09). These data suggest that major bleeding is associated with development of a pro-inflammatory state. If confirmed, this mechanism may in part explain the poor prognosis of patients experiencing an acute hemorrhagic event...
Antiplatelet therapy: aspirinSteven R Steinhubl
Division of Cardiology, University of North Carolina, 349 Burnett - Womack Building, Chapel Hill, NC 27599, USA
J Invasive Cardiol 15:11B-16B; discussion 16B. 2003
Clopidogrel: how good is it and how does it work?Richard A Santa-Cruz
Division of Cardiology, University of North Carolina, 130 Mason Farm Road, Chapel Hill, NC 27599-7075, USA
Curr Cardiol Rep 6:264-8. 2004....
Relation of platelet inactivation with intravenous glycoprotein IIb/IIIa antagonists to major bleeding (from the GOLD study)Michael R Tamberella
Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA, USA
Am J Cardiol 89:1429-31. 2002
Heparin-induced thrombocytopenia and cardiovascular diseasesPranab Das
Division of Cardiovascular Medicine, Gill Heart Institute, University of Kentucky, Lexington, KY 40536-0200, USA
Am Heart J 152:19-26. 2006
Low-molecular-weight heparins as adjunctive therapy to thrombolytics: extracting the best dataAlison L Bailey
Division of Cardiovascular Medicine, The Gill Heart Institute, The University of Kentucky, Lexington, KY, USA
CMAJ 174:1431-2. 2006
Variable response to antiplatelet therapy: what does it mean to clinicians?Nezar Falluji
Linda and Jack Gill Heart Institute, University of Kentucky, Lexington, USA
Cleve Clin J Med 74:49-55. 2007....
Clopidogrel bisulfate: in ST-segment elevation myocardial infarction: a viewpoint by Steven R SteinhublSteven R Steinhubl
Division of Cardiovascular Medicine, University of Kentucky, Lexington, KY, USA
Am J Cardiovasc Drugs 6:415-6. 2006
Aspirin dose for the prevention of cardiovascular disease: a systematic reviewCharles L Campbell
Gill Heart Institute, University of Kentucky, Lexington, USA
JAMA 297:2018-24. 2007..More than 50 million US adults take aspirin regularly for long-term prevention of cardiovascular disease, typically either 81 mg/d or 325 mg/d. Controversy remains regarding the most appropriate long-term daily dose...
An analysis of mortality rates with dual-antiplatelet therapy in the primary prevention population of the CHARISMA trialThomas H Wang
Cleveland Clinic, Cleveland, OH, USA
Eur Heart J 28:2200-7. 2007..aspirin alone in the prespecified 'asymptomatic' subgroup of CHARISMA, we investigated whether dual-antiplatelet therapy may be associated with adverse cardiovascular (CV) events in a primary prevention population...
Prolonged dual antiplatelet therapy after percutaneous coronary intervention reduces ischemic events without affecting the need for repeat revascularization: insights from the CREDO trialSorin J Brener
Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH 44122, USA
J Invasive Cardiol 19:287-90. 2007..The relationship between target vessel revascularization (TVR) and ischemic events in patients treated with aspirin and clopidogrel or aspirin alone from 1 month to 1 year after PCI has not been studied...
Lack of evidence of a clopidogrel-statin interaction in the CHARISMA trialJacqueline Saw
Division of Cardiology, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada
J Am Coll Cardiol 50:291-5. 2007..The purpose of this study was to evaluate the potential impact of clopidogrel and statin interaction in a randomized, placebo-controlled trial with long-term follow-up...
Determination of the natural history of aspirin resistance among stable patients with cardiovascular diseaseSteven R Steinhubl
J Am Coll Cardiol 42:1336; author reply 1336-7. 2003
Effects of clopidogrel and aspirin combination versus aspirin alone on platelet aggregation and major receptor expression in patients with heart failure: the Plavix Use for Treatment Of Congestive Heart Failure (PLUTO-CHF) trialVictor L Serebruany
Sinai Center for Thrombosis Research, Johns Hopkins University, Sinai Hospital, Baltimore, MD 21215, USA
Am Heart J 146:713-20. 2003..We assessed antiplatelet properties of clopidogrel with aspirin (C+A) versus aspirin alone (A) in patients with CHF with heightened platelet activity...
Percutaneous coronary interventions in patients with renal insufficiency: a high-risk, under-studied cohortSteven R Steinhubl
Am Heart J 146:213-4. 2003
Assessing platelet function during treatment with glycoprotein IIb/IIIa antagonistsSteven R Steinhubl
Department of Medicine, University of North Carolina, Chapel Hill, 27599-7075, USA
Coron Artery Dis 14:381-6. 2003
Platelet function monitoring in patients with coronary artery diseasePaul A Gurbel
Sinai Center for Thrombosis Research, Sinai Hospital of Baltimore, Baltimore, Maryland, USA
J Am Coll Cardiol 50:1822-34. 2007....
The efficacy and safety of short- and long-term dual antiplatelet therapy in patients with mild or moderate chronic kidney disease: results from the Clopidogrel for the Reduction of Events During Observation (CREDO) trialPatricia J M Best
Division of Cardiovascular Diseases, Mayo Clinic, Rochester, MN 55905, USA
Am Heart J 155:687-93. 2008..Therapy with clopidogrel decreases adverse events in large patient populations. Therefore, we sought to determine the efficacy and safety of long-term clopidogrel therapy in patients with CKD...
The Ultegra rapid platelet-function assay: comparison to standard platelet function assays in patients undergoing percutaneous coronary intervention with abciximab therapyGuy L Wheeler
Wake Forest University School of Medicine, Winston-Salem, NC 27157-1045, USA
Am Heart J 143:602-11. 2002..Ultegra RPFA measurements are not operator-dependent and are not influenced by concomitant medications, hematologic parameters, or demographics...
Glycoprotein IIb/IIIa receptor inhibitor-thrombolytic combination therapy for acute myocardial infarctionAra M Maranian
Department of Cardiology, Wilford Hall Medical Center, Lackland Air Force Base, San Antonio, TX 78236, USA
Curr Cardiol Rep 4:313-9. 2002..This review summarizes recently published trials using combination thrombolytic and GP IIb/IIIa receptor inhibitor therapy in the treatment of acute MI...
Are antiplatelet effects of clopidogrel inhibited by atorvastatin? A research question formulated but not yet adequately testedVictor L Serebruany
Circulation 107:1568-9. 2003
Incomplete inhibition of thromboxane biosynthesis by acetylsalicylic acid: determinants and effect on cardiovascular riskJohn W Eikelboom
McMaster University, Hamilton, Ontario, Canada
Circulation 118:1705-12. 2008....
Updated Strategies and Therapies for Reducing Ischemic and Vascular Events (STRIVE) unstable angina/non-ST elevation myocardial infarction critical pathway toolkitChristopher P Cannon
TIMI Study Group, Brigham and Women s Hospital, Boston, MA 02115, USA
Crit Pathw Cardiol 7:43-81. 2008..These materials are being made available online to help physicians, nurses, and hospitals implement the new guidelines and thus improve the quality of care and outcomes for patients with ACS...
Efficacy and safety of clopidogrel pretreatment before percutaneous coronary intervention with and without glycoprotein IIb/IIIa inhibitor useMarc S Sabatine
Cardiovascular Division, Department of Medicine, Thrombolysis in Myocardial Infarction Study Group, Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02115, USA
Am Heart J 155:910-7. 2008..However, the need for clopidogrel pretreatment is debated in patients receiving a glycoprotein IIb/IIIa inhibitor (GPI)...
Lack of adverse clopidogrel-atorvastatin clinical interaction from secondary analysis of a randomized, placebo-controlled clopidogrel trialJacqueline Saw
Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Circulation 108:921-4. 2003....
Impact of anticoagulation levels on outcomes in patients undergoing elective percutaneous coronary intervention: insights from the STEEPLE trialGilles Montalescot
Institut de Cardiologie AP HP and INSERM Unit no 856, Centre Hospitalier Universitaire Pitie Salpetriere, Paris, France
Eur Heart J 29:462-71. 2008..To determine the relationship between anticoagulation levels during percutaneous coronary intervention, and ischaemic events and bleeding...
Intravenous low-molecular-weight heparins compared with unfractionated heparin in percutaneous coronary intervention: quantitative review of randomized trialsRaphaelle Dumaine
Centre Hospitalier Universitaire Pitie Salpetriere, Institute of Cardiology, Bureau 2 236, 47 Blvd de l Hopital, 75013, Paris, France
Arch Intern Med 167:2423-30. 2007..Our objective was to perform a meta-analysis of randomized trials comparing the efficacy and safety of LMWH vs UFH as anticoagulants in the setting of PCI...
Time to coronary angiography and outcomes among patients with high-risk non ST-segment elevation acute coronary syndromes: results from the SYNERGY trialPierluigi Tricoci
Duke Clinical Research Institute, 2400 Pratt St, Room 0311 Terrace Level, Durham, NC 27705, USA
Circulation 116:2669-77. 2007..We evaluated the relationship between time from hospital admission to coronary angiography and outcomes in high-risk patients with non-ST-segment-elevation acute coronary syndrome who underwent angiography within 48 hours of admission...
Safety and efficacy of aspirin, clopidogrel, and warfarin after coronary stent placement in patients with an indication for anticoagulationJames L Orford
Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minn 55905, USA
Am Heart J 147:463-7. 2004..No patient died or sustained a myocardial infarction or stent thrombosis. CONCLUSIONS: The risk of bleeding may be increased in patients treated with aspirin, a thienopyridine, and warfarin early after PCI with stent placement...
Clopidogrel's role in the management of atherosclerotic disease: a focus on acute coronary syndromesJo E Rodgers
Division of Pharmacotherapy, University of North Carolina, Chapel Hill 27599 7360, USA
Expert Rev Cardiovasc Ther 1:507-21. 2003....
Clopidogrel treatment prior to percutaneous coronary intervention: when enough isn't enoughSteven R Steinhubl
JAMA 295:1581-2. 2006
Clopidogrel and aspirin versus aspirin alone for the prevention of atherothrombotic eventsDeepak L Bhatt
Cleveland Clinic, Cleveland, USA
N Engl J Med 354:1706-17. 2006..Overall, clopidogrel plus aspirin was not significantly more effective than aspirin alone in reducing the rate of myocardial infarction, stroke, or death from cardiovascular causes. (ClinicalTrials.gov number, NCT00050817.)...
Absence of interaction between atorvastatin or other statins and clopidogrel: results from the interaction studyVictor L Serebruany
HeartDrug Research, LLC, Baltimore, MD, USA
Arch Intern Med 164:2051-7. 2004..We sought to address this issue prospectively by performing serial measurements of 19 platelet characteristics using conventional aggregometry, rapid analyzers, and flow cytometry...
Risk reduction with long-term clopidogrel following percutaneous coronary interventionSteven R Steinhubl
Eur Heart J 25:2169-70; author reply 2170-1. 2004
Can N-acetylcysteine reverse the antiplatelet effects of clopidogrel? An in vivo and vitro studyCharles L Campbell
Department of Cardiology, Wilford Hall Medical Center, Lackland Air Force Base, San Antonio, TX, USA
Am Heart J 150:796-9. 2005..CONCLUSIONS: These studies reveal that a large dose of NAC does not reduce inhibition of platelet aggregation by clopidogrel in vitro or in vivo...
A global view of atherothrombosis: baseline characteristics in the Clopidogrel for High Atherothrombotic Risk and Ischemic Stabilization, Management, and Avoidance (CHARISMA) trialDeepak L Bhatt
Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Am Heart J 150:401. 2005..We sought to characterize the risk factors and treatments of a diverse contemporary population of patients with atherothrombosis...
Clopidogrel for percutaneous coronary revascularization: time for more pretreatment, retreatment, or both?David J Moliterno
JAMA 294:1271-3. 2005
Resistance to antiplatelet resistance is it justified?Steven R Steinhubl
J Am Coll Cardiol 45:1757-8. 2005
The use of anti-inflammatory analgesics in the patient with cardiovascular disease: what a painSteven R Steinhubl
J Am Coll Cardiol 45:1302-3. 2005
Influence of treatment duration with a 600-mg dose of clopidogrel before percutaneous coronary revascularizationDavid E Kandzari
Duke Clinical Research Institute, Durham, North Carolina, USA
J Am Coll Cardiol 44:2133-6. 2004..We examined clinical outcomes in the Intracoronary Stenting and Antithrombotic Regimen-Rapid Early Action for Coronary Treatment (ISAR-REACT) trial based on the duration of pretreatment with a 600-mg loading dose of clopidogrel...
Clopidogrel-statin interaction: a mountain or a mole hill?Steven R Steinhubl
Am Heart J 152:200-3. 2006
Patients with prior myocardial infarction, stroke, or symptomatic peripheral arterial disease in the CHARISMA trialDeepak L Bhatt
Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio 44195, USA
J Am Coll Cardiol 49:1982-8. 2007..The purpose of this study was to determine the possible benefit of dual antiplatelet therapy in patients with prior myocardial infarction (MI), ischemic stroke, or symptomatic peripheral arterial disease (PAD)...
Risk stratification for patients undergoing nonurgent percutaneous coronary intervention using N-terminal pro-B-type natriuretic peptide: a Clopidogrel for the Reduction of Events During Observation (CREDO) substudyW H Wilson Tang
Department of Cardiovascular Medicine, The Cleveland Clinic, Cleveland, OH 44195, USA
Am Heart J 153:36-41. 2007..The comparative prognostic values between NT-proBNP levels and left ventricular ejection fraction (LVEF) in the nonurgent PCI setting are unclear...
Onset and offset of platelet inhibition after high-dose clopidogrel loading and standard daily therapy measured by a point-of-care assay in healthy volunteersMatthew J Price
Division of Cardiovascular Diseases, Scripps Clinic, La Jolla, California, USA
Am J Cardiol 98:681-4. 2006..A point-of-care assay can identify subjects who may recover platelet function before 5 days after discontinuation or, in contrast, have persistent PI despite discontinuation...
Antiplatelet effect of aspirin in patients with cerebrovascular diseaseJay S Varanasi
Stroke 35:e144-5. 2004
Early coronary revascularization diminishes the risk of ischemic stroke with acute myocardial infarctionEric Van De Graaff
Nebraska Heart Institute, Omaha, Neb, USA
Stroke 37:2546-51. 2006....
Enoxaparin versus unfractionated heparin in elective percutaneous coronary interventionGilles Montalescot
Institut de Cardiologie, Centre Hospitalier Universitaire Pitie Salpetriere, Paris, France
N Engl J Med 355:1006-17. 2006..Several small studies have suggested that intravenous enoxaparin may be a safe and effective alternative. Our primary aim was to assess the safety of enoxaparin as compared with that of unfractionated heparin in elective PCI...
Enoxaparin vs unfractionated heparin in high-risk patients with non-ST-segment elevation acute coronary syndromes managed with an intended early invasive strategy: primary results of the SYNERGY randomized trialJames J Ferguson
JAMA 292:45-54. 2004..Enoxaparin is a safe and effective alternative to unfractionated heparin and the advantages of convenience should be balanced with the modest excess of major bleeding...
Relationship between activated clotting time and ischemic or hemorrhagic complications: analysis of 4 recent randomized clinical trials of percutaneous coronary interventionSorin J Brener
Department of Cardiovascular Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, USA
Circulation 110:994-8. 2004..Despite significant pharmacological and mechanical advancements in PCI, uncertainty remains about the optimal activated clotting time (ACT) for prevention of ischemic or hemorrhagic complications...
Comparison of long-term usefulness of clopidogrel therapy after the first percutaneous coronary intervention or coronary artery bypass grafting versus that after the second or repeat interventionJacqueline Saw
Department of Cardiovascular Medicine, The Cleveland Clinic Foundation, Cleveland, Ohio, USA
Am J Cardiol 94:623-5. 2004..4% vs 21.7%)...
Variability in platelet responsiveness to clopidogrel among 544 individualsVictor L Serebruany
HeartDrug Research Laboratories, Osler Medical Building, 7600 Osler Drive, Towson, MD 21204, USA
J Am Coll Cardiol 45:246-51. 2005..We sought to describe the responses of patients to clopidogrel using ex vivo measures of platelet aggregation and activation in a large, heterogeneous population...
