Publication details

Ticagrelor ve velkých klinických studiích

Title in English Ticagrelor in Large Clinical Trials
Authors

ŠPINAR Jindřich VÍTOVEC Jiří

Year of publication 2015
Type Article in Proceedings
Conference Arteriální hypertenze - současné klinické trendy XIII
MU Faculty or unit

Faculty of Medicine

Citation
Field Cardiovascular diseases incl. cardiosurgery
Keywords ticagrelor; myocardial infarction; bleeding
Description Ticagrelor is an oral direct inhibitor of adenosinediphosphate (ADP) type P2Y12 with a quick antiagregation effect and is not a thienopyridine. In a big multicentric trial called PLATO was tested in 18 624 patients with acute coro-nary syndrome with or with ST elevation and has shown a 9,8% versus 11,7% decrease in major cardiovascular event. No difference in bleeding was ob-served. The clinical trial PEGASUS was finished o autumn 2014. 21 162 patients with a history of myocardial infarction were included and randomized on 2 doses of ticagrelor or placebo. All patients were treated with aspirin. The primary endpoint was a combination of death, myocardial infarction or stroke. The primary safety endpoint was bleeding. The results were presented on AHA congress in San Diego in March 2015 and published in NEJM.

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