OBJECTIVE: To investigate the correlation of plasma concentrations of clopidogrel with coagulation function. METHODS: 126 acute coronary syndrome (ACS) patients underwent PCI were selected from our hospital during Jun. 2014-Jun. 2015. They were given maintenance dose (clopidogrel hydrogen sulfate 75 mg+aspirin 100 mg) before operation, qd, for consecutive 5 d; given loading dose (clopidogrel hydrogen sulfate 300 mg+aspirin 100 mg) at a draught one day before operation; given maintenance dose again after operation. On the second day of giving maintenance dose after operation, plasma concentration of clopidogrel was determined by LC-MS/MS; thrombelastography (TEG) was used to determine blood clot formation time [the formation time of first piece fibrae sanguis (R)+the time of blood clot strength reaching 20 mm (K)], fibrae sanguis and blood clot consolidation time (expressed by Angle) and fibrae sanguis and blood clot final strength (MA). Pearson test was adopted for relationship analysis. RESULTS: Average plasma concentration of clopidogrel was (82.3±20.1) ng/L, (R+K) was (7.8±2.4) min, Angle was (64.1±8.7)° and MA was (60.7±7.2) mm. Plasma concentration of clopidogrel was positively correlated with (R+K) (r=0.671, P<0.01) and negatively correlated with Angle (r=-0.556, P<0.01). There was no correlation between plasma concentration of clopidogrel and MA (r=-0.073,P>0.05). CONCLUSIONS: As plasma concentration of clopidogrel increased, blood clot formation time prolonged while fibrae sanguis and blood clot consolidation speed decreased.