Sökning: WFRF:(Steg Philippe Gabriel)
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> Meier Bernhard >
Safety and efficacy...
Safety and efficacy of ticagrelor and clopidogrel in primary percutaneous coronary intervention
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- Velders, Matthijs A. (författare)
- Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi
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- Abtan, Jeremie (författare)
- Hop Bichat Claude Bernard, AP HP, Dept Hosp Univ FIRE, F-75877 Paris, France.
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- Angiolillo, Dominick J. (författare)
- Univ Florida, Coll Med Jacksonville, Dept Med, Jacksonville, FL USA.
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visa fler...
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- Ardissino, Diego (författare)
- Univ Parma, Azienda Osped, I-43100 Parma, Italy.
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- Harrington, Robert A. (författare)
- Stanford Univ, Dept Med, Stanford, CA 94305 USA.
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- Hellkamp, Anne (författare)
- Duke Univ, Med Ctr, Duke Clin Res Inst, Durham, NC USA.
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- Himmelmann, Anders (författare)
- AstraZeneca Res & Dev, Gothenburg, Sweden.
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- Husted, Steen (författare)
- Hosp Unit West, Dept Med, Holstebro Herning Holste, Denmark.
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- Katus, Hugo A. (författare)
- Univ Klinikum Heidelberg, Med Klin, Heidelberg, Germany.
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- Meier, Bernhard (författare)
- Univ Hosp Bern, CH-3010 Bern, Switzerland.
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- Schulte, Phillip J. (författare)
- Duke Univ, Med Ctr, Duke Clin Res Inst, Durham, NC USA.;Mayo Clin, Dept Hlth Sci Res, Rochester, MN USA.
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- Storey, Robert F. (författare)
- Univ Sheffield, Dept Cardiovasc Sci, Sheffield, S Yorkshire, England.
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- Wallentin, Lars (författare)
- Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi
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- Steg, Philippe Gabriel (författare)
- Hop Bichat Claude Bernard, AP HP, Dept Hosp Univ FIRE, F-75877 Paris, France.;INSERM, Unite 1148, Paris, France.;Univ Paris Diderot, Sorbonne Paris Cite, Paris, France.;Royal Brompton Hosp, ICMS, NHLI Imperial Coll, London SW3 6LY, England.
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- James, Stefan K. (författare)
- Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi
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visa färre...
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(creator_code:org_t)
- 2016-02-04
- 2016
- Engelska.
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Ingår i: Heart. - : BMJ. - 1355-6037 .- 1468-201X. ; 102:8, s. 617-625
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Objective: The effects of ticagrelor in the subpopulation of patients with ST-elevation myocardial infarction (STEMI) were consistent with those observed in the overall Platelet Inhibition and Patient Outcomes (PLATO) study. However, this subgroup included patients initially or ultimately treated conservatively. The aim of this study is to compare treatment using ticagrelor with treatment using clopidogrel in patients with STEMI undergoing primary percutaneous coronary intervention (PCI).Methods: This post-hoc subgroup analysis compared ticagrelor with clopidogrel in 4949 PLATO patients with STEMI that were treated with primary PCI within 12h of admission. The primary endpoint was cardiovascular death, myocardial infarction or stroke. The safety endpoint consisted of any major bleeding. Secondary endpoints included stent thrombosis. The analysis was not adequately powered to establish significance of any treatment effects.Results: During a median of 286days, the primary endpoint occurred in 7.9% of ticagrelor-treated patients versus 8.6% of clopidogrel-treated patients (HR 0.91, 95% CI 0.75 to 1.12, p=0.38). Major bleeding occurred in 6.7% in ticagrelor-treated patients versus 6.8% of clopidogrel-treated patients (HR 0.97, 95% CI 0.77 to 1.22, p=0.79). No interactions were observed for the treatment effect of ticagrelor versus clopidogrel on the primary efficacy (p=0.40) and primary safety endpoints (p=0.15) as compared with the full PLATO population. Treatment with ticagrelor versus clopidogrel reduced the occurrence of definite stent thrombosis (HR 0.58, 95% CI 0.37 to 0.89, p=0.013).Conclusions: In the subset of patients with STEMI treated with primary PCI, ticagrelor compared with clopidogrel was safe, and efficacy outcomes were consistent with the overall PLATO trial.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
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Heart
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Till lärosätets databas
- Av författaren/redakt...
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Velders, Matthij ...
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Abtan, Jeremie
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Angiolillo, Domi ...
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Ardissino, Diego
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Harrington, Robe ...
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Hellkamp, Anne
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visa fler...
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Himmelmann, Ande ...
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Husted, Steen
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Katus, Hugo A.
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Meier, Bernhard
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Schulte, Phillip ...
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Storey, Robert F ...
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Wallentin, Lars
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Steg, Philippe G ...
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James, Stefan K.
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Heart
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