P2Y<sub>12</sub> Receptor Inhibitors in the Treatment of Patients with Acute Coronary Syndrome and Percutaneous Coronary Intervention: Possibilities of Prasugrel

The possibilities of P2Y12 receptor inhibitors application in the treatment of patients with acute coronary syndrome (ACS) undergoing percutaneous coronary intervention (PCI) are discussed in the article. The results of 4 registries in which a comparative analysis of the efficacy and safety of prasu...

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Main Author: N. M. Vorobyeva
Format: Article
Language:English
Published: Столичная издательская компания 2019-01-01
Series:Рациональная фармакотерапия в кардиологии
Subjects:
Online Access:https://www.rpcardio.online/jour/article/view/1811
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author N. M. Vorobyeva
author_facet N. M. Vorobyeva
author_sort N. M. Vorobyeva
collection DOAJ
description The possibilities of P2Y12 receptor inhibitors application in the treatment of patients with acute coronary syndrome (ACS) undergoing percutaneous coronary intervention (PCI) are discussed in the article. The results of 4 registries in which a comparative analysis of the efficacy and safety of prasugrel with clopidogrel or ticagrelor was performed, as well as of all 3 P2Y12-receptor inhibitors among themselves, are considered in detail. The feasibility of replacing clopidogrel to prasugrel during the inpatient treatment of patients with ACS and PCI was evaluated additionally in the MULTIPRAC registry. The results of the registries demonstrate that the use of prasugrel in patients with ACS and PCI is associated with a significant reduction in the risk of ischemic complications and mortality with an acceptable risk of bleeding. At the same time, prasugrel was more effective and safer than clopidogrel and at least was non-inferior to ticagrelor, and according to some registries, even surpasses it in a number of indicators.
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spelling doaj.art-12b86c39e9bd42549c328b9ad279646f2024-12-04T11:48:16ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532019-01-0114693594310.20996/1819-6446-2018-14-6-935-9431560P2Y<sub>12</sub> Receptor Inhibitors in the Treatment of Patients with Acute Coronary Syndrome and Percutaneous Coronary Intervention: Possibilities of PrasugrelN. M. Vorobyeva0Pirogov Russian National Research Medical UniversityThe possibilities of P2Y12 receptor inhibitors application in the treatment of patients with acute coronary syndrome (ACS) undergoing percutaneous coronary intervention (PCI) are discussed in the article. The results of 4 registries in which a comparative analysis of the efficacy and safety of prasugrel with clopidogrel or ticagrelor was performed, as well as of all 3 P2Y12-receptor inhibitors among themselves, are considered in detail. The feasibility of replacing clopidogrel to prasugrel during the inpatient treatment of patients with ACS and PCI was evaluated additionally in the MULTIPRAC registry. The results of the registries demonstrate that the use of prasugrel in patients with ACS and PCI is associated with a significant reduction in the risk of ischemic complications and mortality with an acceptable risk of bleeding. At the same time, prasugrel was more effective and safer than clopidogrel and at least was non-inferior to ticagrelor, and according to some registries, even surpasses it in a number of indicators.https://www.rpcardio.online/jour/article/view/1811acute coronary syndromemyocardial infarctionpercutaneous coronary interventionp2y<sub>12</sub> receptor inhibitorsclopidogrelprasugrelticagrelor
spellingShingle N. M. Vorobyeva
P2Y<sub>12</sub> Receptor Inhibitors in the Treatment of Patients with Acute Coronary Syndrome and Percutaneous Coronary Intervention: Possibilities of Prasugrel
Рациональная фармакотерапия в кардиологии
acute coronary syndrome
myocardial infarction
percutaneous coronary intervention
p2y<sub>12</sub> receptor inhibitors
clopidogrel
prasugrel
ticagrelor
title P2Y<sub>12</sub> Receptor Inhibitors in the Treatment of Patients with Acute Coronary Syndrome and Percutaneous Coronary Intervention: Possibilities of Prasugrel
title_full P2Y<sub>12</sub> Receptor Inhibitors in the Treatment of Patients with Acute Coronary Syndrome and Percutaneous Coronary Intervention: Possibilities of Prasugrel
title_fullStr P2Y<sub>12</sub> Receptor Inhibitors in the Treatment of Patients with Acute Coronary Syndrome and Percutaneous Coronary Intervention: Possibilities of Prasugrel
title_full_unstemmed P2Y<sub>12</sub> Receptor Inhibitors in the Treatment of Patients with Acute Coronary Syndrome and Percutaneous Coronary Intervention: Possibilities of Prasugrel
title_short P2Y<sub>12</sub> Receptor Inhibitors in the Treatment of Patients with Acute Coronary Syndrome and Percutaneous Coronary Intervention: Possibilities of Prasugrel
title_sort p2y sub 12 sub receptor inhibitors in the treatment of patients with acute coronary syndrome and percutaneous coronary intervention possibilities of prasugrel
topic acute coronary syndrome
myocardial infarction
percutaneous coronary intervention
p2y<sub>12</sub> receptor inhibitors
clopidogrel
prasugrel
ticagrelor
url https://www.rpcardio.online/jour/article/view/1811
work_keys_str_mv AT nmvorobyeva p2ysub12subreceptorinhibitorsinthetreatmentofpatientswithacutecoronarysyndromeandpercutaneouscoronaryinterventionpossibilitiesofprasugrel