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- Publisher Website: 10.3390/jcm11247440
- Scopus: eid_2-s2.0-85144728766
- PMID: 36556067
- WOS: WOS:000901151300001
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Article: Antiplatelet Therapy Aims and Strategies in Asian Patients with Acute Coronary Syndrome or Stable Coronary Artery Disease.
Title | Antiplatelet Therapy Aims and Strategies in Asian Patients with Acute Coronary Syndrome or Stable Coronary Artery Disease. |
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Authors | |
Keywords | antiplatelet agent bleeding clopidogrel dual antiplatelet therapy individualized medicine ischemia P2Y12 receptor antagonist prasugrel risk assessment ticagrelor |
Issue Date | 15-Dec-2022 |
Publisher | MDPI |
Citation | Journal of Clinical Medicine, 2022, v. 11, n. 24 How to Cite? |
Abstract | Dual antiplatelet therapy (DAPT) has been the mainstay treatment to reduce ischemic events, such as myocardial infarction or stroke, in patients with coronary artery disease (CAD). The development of potent P2Y12 inhibitors (ticagrelor and prasugrel) has helped to further reduce ischemic events, particularly among high-risk patients. Meanwhile, the evolution of newer generations of drug-eluting stents are also improving outcomes of percutaneous coronary intervention. Research studies on antiplatelet therapy in recent years have focused on balancing ischemic and bleeding risks through different strategies, which include P2Y12 inhibitor monotherapy, escalation and de-escalation, and extended DAPT. Because results from the large number of clinical studies may sometimes appear conflicting, this review aims to summarize recent advances, and demonstrate that they are aligned by a general principle, namely, strategies may be adopted based on treatment aims for specific patients at several time points. Another aim of this review is to outline the important considerations for using antiplatelet therapy in Asian patients, in whom there is a greater prevalence of CYP2C19 loss-of-function mutations, and a common increased risk of bleeding, despite high platelet reactivity (the so-called "East Asian Paradox"). |
Persistent Identifier | http://hdl.handle.net/10722/338473 |
ISSN | 2021 Impact Factor: 4.964 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Tam, CC | - |
dc.contributor.author | Tse, HF | - |
dc.date.accessioned | 2024-03-11T10:29:10Z | - |
dc.date.available | 2024-03-11T10:29:10Z | - |
dc.date.issued | 2022-12-15 | - |
dc.identifier.citation | Journal of Clinical Medicine, 2022, v. 11, n. 24 | - |
dc.identifier.issn | 2077-0383 | - |
dc.identifier.uri | http://hdl.handle.net/10722/338473 | - |
dc.description.abstract | <p>Dual antiplatelet therapy (DAPT) has been the mainstay treatment to reduce ischemic events, such as myocardial infarction or stroke, in patients with coronary artery disease (CAD). The development of potent P2Y<sub>12</sub> inhibitors (ticagrelor and prasugrel) has helped to further reduce ischemic events, particularly among high-risk patients. Meanwhile, the evolution of newer generations of drug-eluting stents are also improving outcomes of percutaneous coronary intervention. Research studies on antiplatelet therapy in recent years have focused on balancing ischemic and bleeding risks through different strategies, which include P2Y<sub>12</sub> inhibitor monotherapy, escalation and de-escalation, and extended DAPT. Because results from the large number of clinical studies may sometimes appear conflicting, this review aims to summarize recent advances, and demonstrate that they are aligned by a general principle, namely, strategies may be adopted based on treatment aims for specific patients at several time points. Another aim of this review is to outline the important considerations for using antiplatelet therapy in Asian patients, in whom there is a greater prevalence of <em>CYP2C19</em> loss-of-function mutations, and a common increased risk of bleeding, despite high platelet reactivity (the so-called "East Asian Paradox").</p> | - |
dc.language | eng | - |
dc.publisher | MDPI | - |
dc.relation.ispartof | Journal of Clinical Medicine | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | antiplatelet agent | - |
dc.subject | bleeding | - |
dc.subject | clopidogrel | - |
dc.subject | dual antiplatelet therapy | - |
dc.subject | individualized medicine | - |
dc.subject | ischemia | - |
dc.subject | P2Y12 receptor antagonist | - |
dc.subject | prasugrel | - |
dc.subject | risk assessment | - |
dc.subject | ticagrelor | - |
dc.title | Antiplatelet Therapy Aims and Strategies in Asian Patients with Acute Coronary Syndrome or Stable Coronary Artery Disease. | - |
dc.type | Article | - |
dc.identifier.doi | 10.3390/jcm11247440 | - |
dc.identifier.pmid | 36556067 | - |
dc.identifier.scopus | eid_2-s2.0-85144728766 | - |
dc.identifier.volume | 11 | - |
dc.identifier.issue | 24 | - |
dc.identifier.eissn | 2077-0383 | - |
dc.identifier.isi | WOS:000901151300001 | - |
dc.identifier.issnl | 2077-0383 | - |