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August 1, 1990StrokeOpen Access

European Stroke Prevention Study. ESPS Group.

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Key result

Acetylsalicylic acid plus dipyridamole reduced the incidence of death from all causes or strokes by 33.5% (p<0.001) compared to placebo in patients with previous cerebrovascular disorders.

Why the study?

Does acetylsalicylic acid plus dipyridamole reduce deaths from all causes or strokes in patients with previous cerebrovascular disorders?

Population

2,500 patients with previous cerebrovascular disorders

Comparison

Acetylsalicylic acid plus dipyridamole vs Matched placebo

Design

RCT

Follow-up

2 years

Discussion

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Overview

May support dual antiplatelet therapy post-stroke; leaves open confirmation in contemporary randomized trials.

Study Design

Type

RCT (n=2,500)

Structured PICO

Does acetylsalicylic acid plus dipyridamole reduce deaths from all causes or strokes in patients with previous cerebrovascular disorders?

P
Population
2,500 patients with previous cerebrovascular disorders (transient ischemic attacks, reversible ischemic neurologic deficits, or completed strokes) followed for 2 years.
I
Intervention
Acetylsalicylic acid plus dipyridamole
C
Comparator
Matched placebo
O
Outcome
Incidence of all end points (deaths from all causes or strokes)composite

Main Result

Effect estimate: 33.5% reduction

p-value: p=<0.001

Combination therapy with acetylsalicylic acid and dipyridamole significantly reduces the risk of death or stroke in patients with prior cerebrovascular events compared to placebo.

Limitations

  • The efficacy of acetylsalicylic acid or dipyridamole alone and the most effective acetylsalicylic acid dosage remain in question.

Cite This Study

A 1990 study conducted an RCT in previous cerebrovascular disorders (n=2,500). acetylsalicylic acid plus dipyridamole vs. matched placebo was evaluated on deaths from all causes or strokes (33.5% reduction, p=<0.001). Acetylsalicylic acid plus dipyridamole reduced the incidence of death from all causes or strokes by 33.5% (p<0.001) compared to placebo in patients with previous cerebrovascular disorders.

synapsesocial.com/papers/6a57c8b3d7502ad8fc0fcbf7https://doi.org/10.1161/01.str.21.8.1122
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Acetylsalicylic acid in the prevention of stroke in patients with reversible cerebral ischemic attacks. A Danish cooperative study.1983 · 192 citations
  2. 2Controlled trial of aspirin in cerebral ischemia.1977 · 632 citations
  3. 3A randomized trial of aspirin and sulfinpyrazone in patients with TIA.1982 · 94 citations
  4. 4Aspirin, Platelets and Stroke. Background for a Clinical Trial1972 · 19 citations
  5. 5Inhibition by Aspirin of Release of Antiheparin Activity from Human Platelets1969 · 33 citations