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10.1155/2014/643981

http://scihub22266oqcxt.onion/10.1155/2014/643981
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suck abstract from ncbi


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pmid24895595
      Biomed+Res+Int 2014 ; 2014 (ä): 643981
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  • Glycoprotein IIb/IIIa inhibitors use and outcome after percutaneous coronary intervention for non-ST elevation myocardial infarction #MMPMID24895595
  • Howard JP ; Jones DA ; Gallagher S ; Rathod K ; Antoniou S ; Wright P ; Knight C ; Mathur A ; Weerackody R ; Wragg A
  • Biomed Res Int 2014[]; 2014 (ä): 643981 PMID24895595 show ga
  • AIMS: We investigate the effect of glycoprotein IIb/IIIa (GP IIb/IIIa) inhibitors on long-term outcomes following percutaneous coronary intervention (PCI) after non-ST elevation myocardial infarction (NSTEMI). Meta-analyses indicate that these agents are associated with improved short-term outcomes. However, many trials were undertaken before the routine use of P2Y12 inhibitors. Recent studies yield conflicting results and registry data have suggested that GP IIb/IIIa inhibitors may cause more bleeding than what trials indicate. METHODS AND RESULTS: This retrospective observational study involves 3047 patients receiving dual-antiplatelet therapy who underwent PCI for NSTEMI. Primary outcome was all-cause mortality. Major adverse cardiac events (MACE) were a secondary outcome. Mean follow-up was 4.6 years. Patients treated with GP IIb/IIIa inhibitors were younger with fewer comorbidities. Although the unadjusted Kaplan-Meier analysis suggested that GP IIb/IIIa inhibitor use was associated with improved outcomes, multivariate analysis (including propensity scoring) showed no benefit for either survival (P = 0.136) or MACE (P = 0.614). GP IIb/IIIa inhibitor use was associated with an increased risk of major bleeding (P = 0.021). CONCLUSION: Although GP IIb/IIIa inhibitor use appeared to improve outcomes after PCI for NSTEMI, patients who received GP IIb/IIIa inhibitors tended to be at lower risk. After multivariate adjustment we observed no improvement in MACE or survival and an increased risk of major bleeding.
  • |*Electrocardiography [MESH]
  • |*Percutaneous Coronary Intervention [MESH]
  • |Aged [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Kaplan-Meier Estimate [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Multivariate Analysis [MESH]
  • |Myocardial Infarction/*drug therapy/mortality/*physiopathology [MESH]
  • |Platelet Aggregation Inhibitors/adverse effects/*therapeutic use [MESH]
  • |Platelet Glycoprotein GPIIb-IIIa Complex/*antagonists & inhibitors/metabolism [MESH]
  • |Proportional Hazards Models [MESH]
  • |Time Factors [MESH]


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