Research Topics
Species | Dimitrros AlexopoulosSummaryAffiliation: University of Patras Country: Greece Publications
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Detail Information
Publications
Coronary artery calcium by digital cinefluoroscopy in patients with pain suggestive of an acute coronary syndromeDimitrros Alexopoulos
Department of Medicine, Division of Cardiology, University of Patras Medical School, Patras, Greece
Clin Cardiol 28:81-4. 2005..Detection of coronary calcium may be a useful noninvasive approach for detecting coronary artery disease (CAD) in subjects presenting to the emergency department with chest pain...
Intrinsic platelet reactivity and thrombus burden in patients with ST-elevation myocardial infarctionDimitrios Alexopoulos
Department of Cardiology, Patras University Hospital, Rion, Patras, Greece Electronic address
Thromb Res 131:333-7. 2013..We aimed to evaluate the predictive accuracy of intrinsic platelet reactivity for intracoronary thrombus burden in P2Y12 inhibitor- naïve STEMI patients...
P2Y12 inhibitors adjunctive to primary PCI therapy in STEMI: fighting against the activated plateletsDimitrios Alexopoulos
Department of Cardiology, Patras University Hospital, Rion 26500, Patras, Greece
Int J Cardiol 163:249-55. 2013..The efficacy and safety issues with the P2Y12 inhibitor use in STEMI and the possible role of phenotyping and/or genotyping for appropriate agent selection are discussed and several clinically important unanswered questions are raised...
Randomized assessment of ticagrelor versus prasugrel antiplatelet effects in patients with ST-segment-elevation myocardial infarctionDimitrios Alexopoulos
Department of Cardiology, Patras University Hospital, Rion, Greece
Circ Cardiovasc Interv 5:797-804. 2012..Ticagrelor and prasugrel provide stronger platelet inhibition compared with clopidogrel. Direct pharmacodynamic comparison between them has not yet been reported in ST-segment-elevation myocardial infarction patients...
Pharmacodynamic effect of prasugrel 5 mg vs clopidogrel 150 mg in elderly patients with high on-clopidogrel platelet reactivityDimitrios Alexopoulos
Department of Cardiology, Patras University Hospital, Rion, Patras, Greece
Am Heart J 165:73-9. 2013..We aimed to test the hypothesis that in elderly patients exhibiting HPR after standard treatment with clopidogrel, prasugrel-reduced dose (5 mg) could be more effective than high-dose (150 mg) clopidogrel...
Thrombus extraction catheters vs. angiojet rheolytic thrombectomy in thrombotic lesions/SV graftsDimitrios Alexopoulos
Cardiology Department, Patras University Hospital, Rion 26504, Greece
Curr Cardiol Rev 8:202-8. 2012....
Predictors of high on-treatment platelet reactivity early after clopidogrel loading in ST-elevation myocardial infarctionDimitrios Alexopoulos
Department of Cardiology, Patras University Hospital, Rion, Patras, Greece
Circ J 76:2183-7. 2012..Methods and..
Prasugrel versus high dose clopidogrel to overcome early high on clopidogrel platelet reactivity in patients with ST elevation myocardial infarctionD Alexopoulos
Department of Cardiology, Patras University Hospital, Rion, 26500, Patras, Greece
Cardiovasc Drugs Ther 26:393-400. 2012..If high on-treatment platelet reactivity (HTPR) is present, prasugrel reloading and subsequent maintenance dose (MD), might offer faster and stronger platelet inhibition than high clopidogrel MD...
Prediction of clopidogrel efficacy and safety: phenotyping and/or genotyping?Dimitrios Alexopoulos
Department of Cardiology, Patras University Hospital, Rion, 26500 Patras, Greece
Expert Rev Hematol 5:377-80. 2012..The authors recognize that it is premature to recommend any assay to guide the antiplatelet treatment in routine clinical practice. However, the need for properly powered randomized trials to address this issue is emphasized...
Ticagrelor versus prasugrel in acute coronary syndrome patients with high on-clopidogrel platelet reactivity following percutaneous coronary intervention: a pharmacodynamic studyDimitrios Alexopoulos
Department of Cardiology, Patras University Hospital, Rion, Patras, Greece
J Am Coll Cardiol 60:193-9. 2012..The study aimed to compare the antiplatelet action of ticagrelor with prasugrel in acute coronary syndrome (ACS) patients with high on-treatment platelet reactivity (HTPR) while on clopidogrel after percutaneous coronary intervention (PCI)...
Coronary artery calcium detection using flat panel digital cinefluoroscopy: comparison to coronary artery calcium score assessed with multiple detector computerized tomographyDimitrios Alexopoulos
Department of Cardiology, Patras University Hospital, Rion 26500, Patras, Greece
Int J Cardiol 158:370-5. 2012..The diagnostic accuracy of flat panel digital detector (FPDD) cinefluoroscopy for coronary artery calcium (CAC) detection, compared to multiple detector computed tomography (MDCT), is not known...
Prasugrel resistance: fact or fictionDimitrios Alexopoulos
Department of Cardiology, Patras University Hospital, Rio, Patras, Greece
Platelets 23:83-90. 2012..However, cases of inadequate platelet inhibition or of the so-called 'resistance' to prasugrel have been occasionally reported. The focus of this review is prasugrel resistance prevalence, mechanisms and potential clinical implications...
A successfully thrombolysed acute inferior myocardial infarction due to type A aortic dissection with lethal consequences: the importance of early cardiac echocardiographyGrigorios Tsigkas
Department of Cardiology, Patras University School of Medicine, Patras, Greece
J Cardiothorac Surg 6:101. 2011..Prognostic implications of early diagnosis applying transthoracic echocardiography (TTE) are described...
Heart echinococcus cyst as an incidental finding: early detection might be life-savingGrigorios Tsigkas
Department of Cardiology, Patras University School of Medicine, Patras, Greece
J Cardiothorac Surg 5:124. 2010..Surgical excision was performed and the patient had an uneventful recovery and follow up at six and twelve months...
Prasugrel overcomes high on-clopidogrel platelet reactivity in chronic coronary artery disease patients more effectively than high dose (150 mg) clopidogrelDimitrios Alexopoulos
Department of Cardiology, Patras University Hospital Rio, Greece
Am Heart J 162:733-9. 2011..Strategies to optimize platelet inhibition in such patients are not clear...
Prevalence of contraindications and conditions for precaution for prasugrel administration in a real world acute coronary syndrome populationDimitrios Alexopoulos
Department of Cardiology, Patras University Hospital, Rio, Patras, Greece
J Thromb Thrombolysis 32:328-33. 2011..In a real world ACS population a relatively high proportion of patients have a potential contraindication for prasugrel administration or necessitate special attention for its use...
Simultaneous drug-eluting and bare-metal stent implantation: long-term clinical outcome and findings of clinically indicated coronary angiographyDimitrios Alexopoulos
Cardiology Department, Patras University Hospital, Rio, Patras, Greece
Clin Cardiol 34:317-21. 2011..Simultaneous drug-eluting stent (DES) and bare-metal stent (BMS) implantation is occasionally employed in clinical practice, but its long-term clinical and angiographic outcome is not clear...
Prasugrel overcomes high on-clopidogrel platelet reactivity post-stenting more effectively than high-dose (150-mg) clopidogrel: the importance of CYP2C19*2 genotypingDimitrios Alexopoulos
Department of Cardiology, Patras University Hospital, Patras, Greece
JACC Cardiovasc Interv 4:403-10. 2011....
Acute myocardial infarction late following stent implantation: Incidence, mechanisms and clinical presentationDimitrios Alexopoulos
Patras University Hospital, Cardiology Department, Rion 26500, Patras, Greece
Int J Cardiol 152:295-301. 2011..Angiographic follow-up and intracoronary imaging seem the most appropriate methods to define the exact pathophysiologic mechanism responsible for the AMI post stenting...
Clopidogrel pretreatment in PCI: absolute requirement or obsolete myth?Dimitrios Alexopoulos
Cardiology Department, Patras University Hospital, Rion 26500, Patras, Greece
Int J Cardiol 146:305-10. 2011..Several uncertain aspects are discussed...
Antiplatelet effects of prasugrel vs. double clopidogrel in patients on hemodialysis and with high on-treatment platelet reactivityD Alexopoulos
Department of Cardiology, Patras University Hospital, Patras, Greece
J Thromb Haemost 9:2379-85. 2011..High on-treatment platelet reactivity (HTPR) is frequent in patients on hemodialysis (HD) receiving clopidrogel...
