Response to Letter Regarding Article, “Association of Cyclooxygenase-1–Dependent and –Independent Platelet Function Assays With Adverse Clinical Outcomes in Aspirin-Treated Patients Presenting for Cardiac Catheterization”

Our conclusion that “poor clinical outcomes of aspirin-treated patients is due in part to incomplete cyclooxygenase-1 (COX-1) inhibition, but is also due in part to COX-1–independent platelet hyperreactivity” is based on the independent association of both high residual serum thromboxane B2 (TXB2) and shortened platelet function analyzer (PFA-100) collagen/ADP closure time (CADP CT; indicative of COX-1–independent platelet hyperreactivity) with adverse outcomes in aspirin-treated patients.1 These findings help define factors that contribute to the risk for adverse events in …