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editorial
. 2004 Feb 28;328(7438):477–479. doi: 10.1136/bmj.328.7438.477

Table 1.

Laboratory tests used to measure the antiplatelet effects of aspirin

Test Method Advantages Limitations
Platelet aggregation Optical platelet aggregation Widely available Not specific
Correlated with clinical events Uncertain sensitivity
Labour intensive


Operator and interpreter dependent
Semi-automated platelet aggregometry Simple Not specific
(PFA-100, Ultegra RPFA) Rapid Uncertain sensitivity
Uncertain correlation with clinical events
Bleeding time Skin bleeding time Simple Not specific
Widely available Not sensitive
Operator dependent
Limited reproducibility
Uncertain correlation with clinical events
Thromboxane generation Urinary thromboxane excretion Correlated with clinical events Uncertain specificity
Uncertain sensitivity
Uncertain reproducibility
Not widely evaluated

PFA=platelet function analyser; RPFA=rapid platelet function analyser.