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- W3035943114 endingPage "1963" @default.
- W3035943114 startingPage "1963" @default.
- W3035943114 abstract "Dual antiplatelet therapy (DAPT) after percutaneous coronary intervention has become the standard of care, particularly in patients with acute coronary syndrome (ACS). Current clinical guidelines recommend novel P2Y12 inhibitors (e.g., prasugrel or ticagrelor) in addition to aspirin based on the results of representative randomized controlled trials conducted predominantly in Western countries. These agents were superior to clopidogrel in reducing the composite ischemic events, with a trade-off of the increased bleeding events. However, multiple differences exist between East Asian and Western patients, especially with respect to their physique, thrombogenicity, hemorrhagic diathesis, and on-treatment platelet reactivity. Recent studies from East Asian countries (e.g., Japan or South Korea) have consistently demonstrated that use of novel P2Y12 inhibitors is associated with a higher risk of bleeding events than use of clopidogrel, despite borderline statistical difference in the incidence of composite ischemic events. Additionally, multiple studies have shown that the optimal duration of DAPT may be shorter in East Asian than Western patients. This review summarizes clinical studies of antithrombotic strategies in East Asian patients with ACS. Understanding these differences in antithrombotic strategies including DAPT and their impacts on clinical outcomes will aid in selection of the optimal tailored antithrombotic therapy for patients with ACS." @default.
- W3035943114 created "2020-06-25" @default.
- W3035943114 creator A5003536449 @default.
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- W3035943114 creator A5058119107 @default.
- W3035943114 creator A5059911683 @default.
- W3035943114 creator A5069884202 @default.
- W3035943114 date "2020-06-23" @default.
- W3035943114 modified "2023-10-14" @default.
- W3035943114 title "Antithrombotic Strategy for Patients with Acute Coronary Syndrome: A Perspective from East Asia" @default.
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- W3035943114 doi "https://doi.org/10.3390/jcm9061963" @default.