Selection of P2Y12 antagonist in patients with myocardial infarction who received thrombolytic therapy. Results of annual follow-up of TREAT study patients

Dual antiplatelet therapy serves to improve the clinical results of thrombolytic therapy after STEMI, until recently consisted of acetylsalicylic acid and clopidogrel. In this category of patients, ticagrelor, widely used by acute coronary syndrome as more effective than clopidogrel, had no serious...

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Main Authors: O. V. Averkov, V. I. Vechorko
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2019-09-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/3482
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author O. V. Averkov
V. I. Vechorko
author_facet O. V. Averkov
V. I. Vechorko
author_sort O. V. Averkov
collection DOAJ
description Dual antiplatelet therapy serves to improve the clinical results of thrombolytic therapy after STEMI, until recently consisted of acetylsalicylic acid and clopidogrel. In this category of patients, ticagrelor, widely used by acute coronary syndrome as more effective than clopidogrel, had no serious evidence of efficacy and safety. The TREAT study discussed in this article has been implemented to supply a gap in the evidence base of ticagrelor. The results of observation within 12 months after randomization to taking ticagrelor or clopidogrel of patients who received thrombolytic showed that the hemorrhagic safety regarding the major bleeding of ticagrelor is comparable with clopidogrel. The results of the TREAT study with the previously obtained results of the PLATO study make it possible to broaden indications for the use of ticagrelor (or switching from clopidogrel) in the first 24 hours from the onset of a myocardial infarction in patients who received thrombolytic therapy as an initial reperfusion.
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spelling doaj.art-d8f790011f5744b0b1baab59712154412023-03-29T21:23:33Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202019-09-0109647010.15829/1560-4071-2019-9-64-702753Selection of P2Y12 antagonist in patients with myocardial infarction who received thrombolytic therapy. Results of annual follow-up of TREAT study patientsO. V. Averkov0V. I. Vechorko1O. M. Filatov City Clinical Hospital № 15; N. I. Pirogov Russian National Research Medical UniversityO. M. Filatov City Clinical Hospital № 15; N. I. Pirogov Russian National Research Medical UniversityDual antiplatelet therapy serves to improve the clinical results of thrombolytic therapy after STEMI, until recently consisted of acetylsalicylic acid and clopidogrel. In this category of patients, ticagrelor, widely used by acute coronary syndrome as more effective than clopidogrel, had no serious evidence of efficacy and safety. The TREAT study discussed in this article has been implemented to supply a gap in the evidence base of ticagrelor. The results of observation within 12 months after randomization to taking ticagrelor or clopidogrel of patients who received thrombolytic showed that the hemorrhagic safety regarding the major bleeding of ticagrelor is comparable with clopidogrel. The results of the TREAT study with the previously obtained results of the PLATO study make it possible to broaden indications for the use of ticagrelor (or switching from clopidogrel) in the first 24 hours from the onset of a myocardial infarction in patients who received thrombolytic therapy as an initial reperfusion.https://russjcardiol.elpub.ru/jour/article/view/3482thrombolysisreperfusion therapyst-elevated myocardial infarctionticagrelor
spellingShingle O. V. Averkov
V. I. Vechorko
Selection of P2Y12 antagonist in patients with myocardial infarction who received thrombolytic therapy. Results of annual follow-up of TREAT study patients
Российский кардиологический журнал
thrombolysis
reperfusion therapy
st-elevated myocardial infarction
ticagrelor
title Selection of P2Y12 antagonist in patients with myocardial infarction who received thrombolytic therapy. Results of annual follow-up of TREAT study patients
title_full Selection of P2Y12 antagonist in patients with myocardial infarction who received thrombolytic therapy. Results of annual follow-up of TREAT study patients
title_fullStr Selection of P2Y12 antagonist in patients with myocardial infarction who received thrombolytic therapy. Results of annual follow-up of TREAT study patients
title_full_unstemmed Selection of P2Y12 antagonist in patients with myocardial infarction who received thrombolytic therapy. Results of annual follow-up of TREAT study patients
title_short Selection of P2Y12 antagonist in patients with myocardial infarction who received thrombolytic therapy. Results of annual follow-up of TREAT study patients
title_sort selection of p2y12 antagonist in patients with myocardial infarction who received thrombolytic therapy results of annual follow up of treat study patients
topic thrombolysis
reperfusion therapy
st-elevated myocardial infarction
ticagrelor
url https://russjcardiol.elpub.ru/jour/article/view/3482
work_keys_str_mv AT ovaverkov selectionofp2y12antagonistinpatientswithmyocardialinfarctionwhoreceivedthrombolytictherapyresultsofannualfollowupoftreatstudypatients
AT vivechorko selectionofp2y12antagonistinpatientswithmyocardialinfarctionwhoreceivedthrombolytictherapyresultsofannualfollowupoftreatstudypatients