Platelets serve a fundamental role in hemostasis, acting as first responders to vascular injury by aggregating to form clots and prevent hemorrhage. Yet, when platelet activation goes unchecked, the result can be pathological thrombus formation—culminating in serious conditions such as myocardial infarction, stroke, or peripheral artery disease. The intricate mechanisms underlying platelet function, including their signaling pathways and dynamic interactions with the vascular endothelium, remain central to contemporary cardiovascular research and clinical practice.
Antiplatelet therapy targets these pathways, aiming to suppress inappropriate platelet activation and aggregation, thereby reducing the risk of thrombotic events. Widely used agents include aspirin and P2Y12 inhibitors such as clopidogrel and ticagrelor; combination regimens are frequently employed, particularly in patients with established coronary artery disease, recent stent placement, or acute coronary syndromes. Importantly, therapy is increasingly individualized—clinicians may utilize platelet function testing, comprehensive risk assessment, and consideration of comorbidities to tailor regimens, striving to balance efficacy with the risk of bleeding.
Furthermore, pharmacologic intervention is most effective when paired with lifestyle modifications: adherence to a heart-healthy diet, regular physical activity, and smoking cessation form the cornerstone of cardiovascular prevention. By integrating advances in platelet biology with nuanced therapeutic strategies, clinicians can optimize patient outcomes, minimize complications linked to thrombosis or bleeding, and ultimately improve long-term quality of life for those at risk of cardiovascular disease.