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Moreover, it has been postulated that there is a therapeutic window for P2Y12 receptor blockers, thus indicating that HTPR is associated with thrombotic events whereas low on-treatment platelet reactivity (LTPR) is associated with bleeding events. The current paper focuses on tools to identify risk factors for HTPR (pharmacogenomic testing, clinical scoring and drug-drug interactions) and on the use of platelet function testing in order to identify patients who might not respond adequately to clopidogrel. The majority of recent clinical randomised trials have not supported the hypothesis that platelet function testing and tailored antiplatelet therapy are providing a favourable clinical outcome. These trials, mainly performed in low-to-moderate risk patients, will be reviewed and discussed. Finally, an algorithm based on current knowledge is suggested, which might be of use for design of clinical trials.<\/jats:p>","DOI":"10.1160\/th14-03-0238","type":"journal-article","created":{"date-parts":[[2014,9,18]],"date-time":"2014-09-18T08:22:47Z","timestamp":1411028567000},"page":"37-52","source":"Crossref","is-referenced-by-count":47,"title":["How to improve the concept of individualised antiplatelet therapy with P2Y12 receptor inhibitors \u2013 is an algorithm the answer?"],"prefix":"10.1160","volume":"113","author":[{"given":"Dietmar","family":"Trenk","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karsten","family":"Schr\u00f6r","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meinrad","family":"Gawaz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steen 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