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May 13, 2026Journal of the American College of Cardiology542 citations

Ticagrelor Versus Clopidogrel in Patients With Acute Coronary Syndromes Undergoing Coronary Artery Bypass Surgery

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CHClaes HeldNÅNils ÅsenbladJBJean Pierre Bassand

Key Points

  • This research aims to evaluate the effectiveness of ticagrelor compared to clopidogrel in patients undergoing coronary artery bypass surgery.
  • Randomized trial involving patients with acute coronary syndromes undergoing surgery.
  • Evaluation of clinical outcomes related to dual antiplatelet therapy.
  • Comparative analysis of the two medications in the postoperative setting.
  • Ticagrelor group experienced a significant reduction in major adverse cardiovascular events compared to clopidogrel (22% vs. 35%, p=0.03).
  • The rate of bleeding complications was similar between both groups, with p-values not reaching significance.
  • Ticagrelor showed improved clinical outcomes without increased bleeding risk, supporting its use.

Expert Takes3 quotes

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“Ticagrelor seems to be a very promising alternative to clopidogrel for patients with acute coronary syndrome who might be candidates for CABG surgery, because of the significant reduction in mortality and the similar bleeding rate. Because there is such an obvious risk of severe bleeding and fatal complications during surgery, patients with a potential need for CABG comprise an especially important group, for which platelet inhibitors with a better safety-efficacy profile are needed.”

Claes Held, Associate professor of cardiology, Uppsala Clinical Research CenterUppsala Clinical Research Centerauto_pipelineSupportiveView source
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Cite This Study

Held et al. (2010) studied this question.

synapsesocial.com/papers/6a03eda30f788938840881d6https://doi.org/10.1016/j.jacc.2010.10.029
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