Journal Article10.1016/S0140-6736(04)16721-4
Aspirin and clopidogrel compared with clopidogrel alone after recent ischaemic stroke or transient ischaemic attack in high-risk patients (MATCH): randomised, double-blind, placebo-controlled trial
Hans-Christoph Diener,Julien Bogousslavsky,Lawrence M. Brass,Claudio Cimminiello,László Csiba,Markku Kaste,Didier Leys,Jordi A. Matías-Guiu,Hans-Jürgen Rupprecht +8 more
TL;DR: Adding aspirin to clopidogrel in high-risk patients with recent ischaemic stroke or transient ischaemia attack is associated with a non-significant difference in reducing major vascular events, however, the risk of life-threatening or major bleeding is increased by the addition of aspirin.
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About: This article is published in The Lancet. The article was published on 24 Jul 2004. The article focuses on the topics: Clopidogrel & Aspirin.
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Citations
Pharmacogenomic considerations for antiplatelet agents: the era of precision medicine in stroke prevention and neurointerventional practice
Phillip A. Bonney,Benjamin Yim,Waleed Brinjikji,Brian P. Walcott +3 more
- 01 Apr 2019
TL;DR: The PharmGKB database was mined to prioritize genetic variants with potential clinical relevance for response to aspirin, clopidogrel, prasugrel, and ticagrelor, and the highest level of evidence was found in cytochrome P450 (CYP450) genotype variation related to clopIDogrel response.
Current issues in antiplatelet therapy for stroke prevention: the importance of stroke subtypes and differences between stroke and MI patients
TL;DR: The importance of the different subtypes of stroke as well as differentiating between treating a heart patient and a stroke patient for secondary stroke prevention are examined, including the advantages of using antiplatelet therapy over anticoagulants.
9
Atherothrombosis: management of patients at risk.
TL;DR: Studies have shown that antihypertensives, statins and antithrombotic agents are the most successful agents in reducing vascular risk and avoiding unpredictable and life-threatening atherothrombosis events.
9
Recent Clinical Trials of Antiplatelet Therapy in Secondary Stroke Prevention: Expectations and Results for Application in Primary Care Settings
TL;DR: This review provides primary care physicians with timely evidence- and guideline-based recommendations on prevention of secondary stroke.
8
Combination antiplatelet therapy with aspirin and clopidogrel: the role of antecedent and concomitant doses of aspirin. An analysis of 711 patients.
TL;DR: Before addition of clopidogrel, aspirin 325 mg has a tendency to provide stronger platelet inhibition than aspirin 81 mg, however, when clopIDogrel and aspirin are used in combination, the higher aspirin dose does not translate into superior antiplatelet action.
8
References
Classification of subtype of acute ischemic stroke. Definitions for use in a multicenter clinical trial. TOAST. Trial of Org 10172 in Acute Stroke Treatment
Harold P. Adams,Birgitte H. Bendixen,L J Kappelle,José Biller,Betsy B. Love,David Lee Gordon,E. Eugene Marsh +6 more
TL;DR: The TOAST stroke subtype classification system is easy to use and has good interobserver agreement and should allow investigators to report responses to treatment among important subgroups of patients with ischemic stroke.
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Collaborative meta-analysis of randomised trials of antiplatelet therapy for prevention of death, myocardial infarction, and stroke in high risk patients
TL;DR: Aspirin (or another oral antiplatelet drug) is protective in most types of patient at increased risk of occlusive vascular events, including those with an acute myocardial infarction or ischaemic stroke, unstable or stable angina, previous myocardian infarctions, stroke or cerebral ischaemia, peripheral arterial disease, or atrial fibrillation.
Effects of clopidogrel in addition to aspirin in patients with acute coronary syndromes without ST-segment elevation.
Salim Yusuf,Zhao F,Shamir R. Mehta,Susan Chrolavicius,Gianni Tognoni,K K Fox,Clopidogrel in Unstable Angina to Prevent Recurrent Events Trial Investigators +6 more
TL;DR: The antiplatelet agent clopidogrel has beneficial effects in patients with acute coronary syndromes without ST-segment elevation, however, the risk of major bleeding is increased among patients treated with clopIDogrel.
•Journal Article
A randomised, blinded, trial of clopidogrel versus aspirin in patients at risk of ischaemic events(CAPRIE).
TL;DR: Long-term administration of clopidogrel to patients with atherosclerotic vascular disease is more effective than aspirin in reducing the combined risk of ischaemic stroke, myocardial infarction, or vascular death.
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Early and sustained dual oral antiplatelet therapy following percutaneous coronary intervention: a randomized controlled trial.
Steven R. Steinhubl,Peter B. Berger,J. Tift Mann,Edward T.A. Fry,Augustin DeLago,Charles Wilmer,Eric J. Topol +6 more
TL;DR: Following PCI, long-term clopidogrel therapy significantly reduced the risk of adverse ischemic events and subgroup analyses suggest that longer intervals between the loading dose and PCI may reduce events.
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