Antithrombotic Treatment of Stable Coronary Artery Disease.

Antithrombotics Coronary artery disease Dual antiplatelet therapy Dual pathway inhibition

Journal

Acta Cardiologica Sinica
ISSN: 1011-6842
Titre abrégé: Acta Cardiol Sin
Pays: China (Republic : 1949- )
ID NLM: 101687085

Informations de publication

Date de publication:
Nov 2021
Historique:
received: 08 12 2020
accepted: 13 05 2021
entrez: 23 11 2021
pubmed: 24 11 2021
medline: 24 11 2021
Statut: ppublish

Résumé

Coronary artery disease (CAD) is one of the leading causes of death in Taiwan. Despite the use of current guideline-recommended therapies for secondary prevention, the residual risk of recurrent cardiovascular events remains high in CAD, warranting the need for new treatment options. Antithrombotic drugs are one of the most important medical therapies for CAD. In this article, we review the unmet needs of the current antithrombotic agents and summarize the results of clinical trials with dual antiplatelet therapy in stable CAD. We also review data from a recent study demonstrating the benefits of a dual pathway inhibition strategy with antiplatelet and anticoagulant therapy, a new option for CAD treatment. Finally, we propose a treatment algorithm for choosing different antithrombotic regimens for CAD based on current scientific evidence and expert opinions.

Identifiants

pubmed: 34812230
doi: 10.6515/ACS.202111_37(6).20210513A
pmc: PMC8593487
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

574-579

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Auteurs

Yi-Heng Li (YH)

National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan.

I-Chang Hsieh (IC)

Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan.

Kwo-Chang Ueng (KC)

Chung Shan Medical University Hospital.

Yu-Chen Wang (YC)

Asia University Hospital, Asia University and China Medical University College of Medicine and Hospital, Taichung.

Shu-Meng Cheng (SM)

Tri-Service General Hospital, National Defense Medical Center.

Cho-Kai Wu (CK)

National Taiwan University College of Medicine and National Taiwan University Hospital, Taipei.

Chiung-Jen Wu (CJ)

Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, and Chang Gung University College of Medicine, Taoyuan.

Ming-Hsiung Hsieh (MH)

Taipei Medical University and Taipei Wan-Fang Hospital.

Hsu-Lung Jen (HL)

Cheng Hsin General Hospital.

Chi-Jen Chang (CJ)

Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan.

Ying-Hwa Chen (YH)

Taipei Veteran General Hospital and National Yang Ming Chiao Tung University, Taipei, Taiwan.

Classifications MeSH