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April 1, 2012European Heart Journal Acute Cardiovascular CareOpen Access

Oral antiplatelet therapy in acute coronary syndromes: update 2012

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Why the study?

Do newer antiplatelet agents (prasugrel, ticagrelor) improve outcomes compared to clopidogrel in patients with acute coronary syndromes?

Population

Patients with acute coronary syndromes (ACS)

Comparison

Newer antiplatelet agents as part of dual… vs Clopidogrel

Design

Review

Authors

THThomas HöchtlPSPeter SinnaeveTATom Adriaenssens

Discussion

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Overview

May favor prasugrel or ticagrelor over clopidogrel in ACS; leaves open optimal patient selection and bleeding mitigation.

Structured PICO

Do newer antiplatelet agents (prasugrel, ticagrelor) improve outcomes compared to clopidogrel in patients with acute coronary syndromes?

P
Population
Patients with acute coronary syndromes (ACS)
I
Intervention
Newer antiplatelet agents (prasugrel and ticagrelor) as part of dual antiplatelet therapy
C
Comparator
Clopidogrel
O
Outcome
Composite of cardiovascular death, non-lethal myocardial infarction, or strokecomposite

Prasugrel and ticagrelor provide superior efficacy compared to clopidogrel in patients with acute coronary syndromes, leading to their incorporation into international guidelines despite an increased bleeding risk.

Cite This Study

Höchtl et al. (2012) studied this question.

synapsesocial.com/papers/6a82985d2403b1e95c46f6b0https://doi.org/10.1177/2048872612443345
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