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
Initial management of suspected transient cerebral ischaemia and stroke in primary care: implications of recent research
TL;DR: Primary care follow-up is essential to ensure adherence to evidence-based therapies and dual combinations of antiplatelet agents (aspirin and dipyridamole) and antihypertensive agents (ACE inhibitors and thiazides) as well as high-dose statins have proven benefit.
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Antiplatelet therapy in ischemic stroke.
Endre Pongrácz,Zoltán Káposzta +1 more
TL;DR: Due to the side effect of bleeding with different antithrombotic drugs, their future employment will be determined in combination with low dosages of each component, so laboratory-controlled, tailored drug therapy will be needed for long-lasting secondary prevention of ischemic stroke.
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Results of the Management of Atherothrombosis With Clopidogrel in High-Risk Patients Trial: Implications for the Neurologist
TL;DR: The potential utility of combining platelet antiaggregants with different mechanisms of action proved successful with aspirin plus extended-release dipyridamole, and this approach has been explored with the combination of clopidogrel and aspirin this article.
Optimizing vascular risk reduction in the stroke patient with atherothrombotic disease.
TL;DR: A timely, systematic, evidence-based multimodal preventive approach to atherothrombotic disease in ischemic stroke and TIA patients that transcends the continuum of care will enhance treatment rates and improve clinical outcomes.
Efficacy and Safety of Vorapaxar as Approved for Clinical Use in the United States
TL;DR: In the article by Magnani et al, “Efficacy and Safety of Vorapaxar as Approved for Clinical Use in the United States,” which published online March 19, 2015, and appeared in the March 2015 issue of the journal ( J Am Heart Assoc . 2015;4:e001505), several corrections are made.
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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.
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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.
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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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