Longer-term oral antiplatelet use in stable post-myocardial infarction patients: Insights from the long Term rIsk, clinical manaGement and healthcare Resource utilization of stable coronary artery dISease (TIGRIS) observational study

Autor: Goodman, Shaun G, Nicolau, Jose C, Requena, Gema, Maguire, Andrew, Blankenberg, Stefan, Chen, Ji Yan, Granger, Christopher B, Grieve, Richard, Pocock, Stuart J, Simon, Tabassome, Yasuda, Satoshi, Vega, Ana Maria, Brieger, David, TIGRIS Study Investigators
Jazyk: angličtina
Rok vydání: 2017
Předmět:
ISSN: 0167-5273
Popis: OBJECTIVE: To describe contemporary patient characteristics and treatment patterns, including antithrombotic management, of post-myocardial infarction (MI) stable coronary artery disease (CAD) patients at high atherothrombotic risk from different geographical regions. METHODS: Patients ≥50years with prior MI 1-3years ago and ≥1 risk factor (age ≥65years, diabetes, 2nd prior MI >1yr ago, multivessel CAD, creatinine clearance 15-1year was highest (39%) in Asia-Pacific and lowest (12%) in Europe. CONCLUSIONS: Despite guideline recommendations, 1 in 4 post-MI patients did not receive DAPT for ~1year. In contrast to guideline recommendations supporting newer ADPris, clopidogrel was mainly prescribed. Prior to recent RCT data supporting DAPT >1year post-MI/PCI, >1 in 4 patients have continued on DAPT, though with substantial international variability.
Databáze: OpenAIRE