Within and beyond 12-month efficacy and safety of antithrombotic strategies in patients with established coronary artery disease. Two companion network meta-analyses of the 2022 joint clinical consensus statement of the European Association of Percutaneous Cardiovascular Interventions (EAPCI), European Association for Acute CardioVascular Care (ACVC) and European Association of Preventive Cardiology (EAPC).
Eliano Pio NavareseAntonio LandiAngelo OlivaRaffaele PiccoloVictor AboyansDominick AngiolilloDan AtarDavide CapodannoKeith A A FoxSigrun HalvorsenStefan JamesPeter JüniVijay KunadianSergio LeonardiRoxana MehranGilles MontalescotJosef NiebauerSusanna PriceRobert F StoreyHeinz VöllerPascal VranckxStephan WindeckerMarco ValgimigliPublished in: European heart journal. Cardiovascular pharmacotherapy (2023)
Within 12 months, ticagrelor 90 mg monotherapy was the only treatment associated with lower mortality, without bleeding risk trade-off compared with aspirin and clopidogrel. Beyond 12 months, P2Y12 monotherapy, especially ticagrelor 90 mg, was associated with lower MI without bleeding trade-off; aspirin and rivaroxaban 2.5 mg most effectively reduced stroke, with a more acceptable bleeding risk than VKA, compared with aspirin. Registration URL: https://www.crd.york.ac.uk/PROSPERO/; Unique identifiers: CRD42021243985 and CRD42021252398.
Keyphrases
- atrial fibrillation
- antiplatelet therapy
- percutaneous coronary intervention
- cardiovascular events
- coronary artery disease
- acute coronary syndrome
- low dose
- st segment elevation myocardial infarction
- combination therapy
- meta analyses
- healthcare
- systematic review
- st elevation myocardial infarction
- coronary artery bypass grafting
- cardiovascular disease
- liver failure
- randomized controlled trial
- heart failure
- clinical trial
- cross sectional
- minimally invasive
- brain injury
- hepatitis b virus
- respiratory failure
- ultrasound guided
- affordable care act
- chronic pain
- mechanical ventilation