Short term outcome following acute phase switch among P2Y

Acute coronary syndrome Clopidogrel Novel P2Y12 inhibitors Prasugrel Switching Ticagrelor

Journal

International journal of cardiology. Heart & vasculature
ISSN: 2352-9067
Titre abrégé: Int J Cardiol Heart Vasc
Pays: Ireland
ID NLM: 101649525

Informations de publication

Date de publication:
Mar 2019
Historique:
received: 06 09 2018
revised: 17 11 2018
accepted: 19 11 2018
entrez: 19 12 2018
pubmed: 19 12 2018
medline: 19 12 2018
Statut: epublish

Résumé

The efficacy and safety of switching P2Y MEDLINE/PubMed/SCOPUS/Cochrane databases were screened for studies regarding switching of P2Y 22,500 patients from 14 studies were included. Unstable angina/non-ST elevation myocardial infarction (62.0%, interquartile range, 52.8%-68.0%) was the most common clinical presentation. The total number switched was 4294 (19.1%); escalation in 3416 (79.5%) patients (from clopidogrel to prasugrel, 62.9%) and de-escalation in 18.5%. Pooled analysis revealed no significant differences in MACE for any comparison; risk of bleeding was significantly increased among switched patients overall (odds ratio [OR], 1.60; 95% confidence interval [CI] 1.22-2.10) and increased in the escalation group (OR, 1.51; 95% CI, 1.06-2.16). Among patients presenting with ACS, switching from one P2Y

Identifiants

pubmed: 30560202
doi: 10.1016/j.ijcha.2018.11.008
pii: S2352-9067(18)30127-1
pmc: PMC6288462
doi:

Types de publication

Journal Article

Langues

eng

Pagination

39-45

Commentaires et corrections

Type : ErratumIn

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Auteurs

Enrico Cerrato (E)

Interventional Cardiology, San Luigi Gonzaga University Hospital, Orbassano and Infermi Hospital, Rivoli, Turin, Italy.

Matteo Bianco (M)

Division of Cardiology, San Luigi Gonzaga University Hospital, Orbassano, Italy.

Akshay Bagai (A)

St. Michael's Hospital, Division of Cardiology, Toronto, Canada.

Leonardo De Luca (L)

S. Giovanni Evangelista Hospital-Tivoli, Division of Cardiology, Rome, Italy.

Simone Biscaglia (S)

University of Ferrara, Division of Cardiology, Ferrara, Italy.

Alessia Luciano (A)

Division of Cardiology, San Luigi Gonzaga University Hospital, Orbassano, Italy.

Paola Destefanis (P)

Division of Cardiology, San Luigi Gonzaga University Hospital, Orbassano, Italy.

Giorgio Quadri (G)

Interventional Cardiology, San Luigi Gonzaga University Hospital, Orbassano and Infermi Hospital, Rivoli, Turin, Italy.

Ilaria Meynet (I)

Division of Cardiology, Infermi Hospital, Rivoli,Turin, Italy.

Carol Gravinese (C)

Division of Cardiology, San Luigi Gonzaga University Hospital, Orbassano, Italy.

Alessandra Chinaglia (A)

Division of Cardiology, Martini Hospital, Turin, Italy.

Shaun G Goodman (SG)

St. Michael's Hospital, Division of Cardiology, Toronto, Canada.

Roberto Pozzi (R)

Division of Cardiology, San Luigi Gonzaga University Hospital, Orbassano, Italy.

Gianluca Campo (G)

University of Ferrara, Division of Cardiology, Ferrara, Italy.

Ferdinando Varbella (F)

Interventional Cardiology, San Luigi Gonzaga University Hospital, Orbassano and Infermi Hospital, Rivoli, Turin, Italy.

Classifications MeSH