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                <term xml:lang="en">Platelet activation</term>
                <term xml:lang="en">Stent thrombosis</term>
                <term xml:lang="en">Antiplatelet treatments Clopidogrel</term>
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              <p>Exercise may induce platelet activation in spite of using antiplatelet treatment. We present a case where the initial acute coronary syndrome and the iterative stent thrombosis always occurred after intense and prolonged physical effort. For this patient the at rest response to platelet inhibition with antiplatelet treatments was assessed as adequate, but after exercise the patient developed platelet activation which could be the trigger of his stent thrombosis.</p>
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