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Prasugrel versus Ticagrelor in Patients with Acute Myocardial Infarction Treated with Primary Percutaneous Coronary Intervention

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F16%3A00065502" target="_blank" >RIV/00159816:_____/16:00065502 - isvavai.cz</a>

  • Alternative codes found

    RIV/65269705:_____/16:00065502 RIV/00843989:_____/16:E0105669 RIV/44555601:13450/16:43887918

  • Result on the web

    <a href="http://dx.doi.org/10.1161/CIRCULATIONAHA.116.024823" target="_blank" >http://dx.doi.org/10.1161/CIRCULATIONAHA.116.024823</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1161/CIRCULATIONAHA.116.024823" target="_blank" >10.1161/CIRCULATIONAHA.116.024823</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Prasugrel versus Ticagrelor in Patients with Acute Myocardial Infarction Treated with Primary Percutaneous Coronary Intervention

  • Original language description

    BACKGROUND: No randomized "head-to-head" comparison of the efficacy and safety of ticagrelor vs. prasugrel has been published in the seven years since the higher efficacy of these newer P2Y12 inhibitors were first demonstrated relative to clopidogrel. The study was prematurely terminated for futility. The occurrence of the primary endpoint did not differ between groups receiving prasugrel and ticagrelor (4.0% and 4.1%, respectively; OR (95% CI) 0.98 (0.55; 1.73); P=0.939). No significant difference was found in any of the components of the primary endpoint. The occurrence of key secondary end-point within 30 days, composed of cardiovascular death, non-fatal MI, or stroke did not show any significant difference between prasugrel and ticagrelor (2.7% and 2.5%, respectively; OR (95% CI) 1.06 (0.53; 2.15); P=0.864). CONCLUSION: This head-to-head comparison of prasugrel and ticagrelor does not support the hypothesis that one is more effective or safer than the other in preventing ischemic and bleeding events in the acute phase of myocardial infarction treated with primary PCI strategy. The observed rates of major outcomes were similar, although with broad confidence intervals around the estimates. These interesting observations need to be confirmed in a larger trial.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>x</sub> - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

  • CEP classification

    FA - Cardiovascular diseases including cardio-surgery

  • OECD FORD branch

Result continuities

  • Project

    Result was created during the realization of more than one project. More information in the Projects tab.

  • Continuities

    P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Others

  • Publication year

    2016

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Circulation

  • ISSN

    0009-7322

  • e-ISSN

  • Volume of the periodical

    134

  • Issue of the periodical within the volume

    21

  • Country of publishing house

    US - UNITED STATES

  • Number of pages

    10

  • Pages from-to

    1603-1612

  • UT code for WoS article

    000388466500009

  • EID of the result in the Scopus database