Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 286.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 286.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\29551930
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Saudi+J+Biol+Sci
2017 ; 24
(8
): 1818-1820
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Comparative study of ticagrelor and clopidogrel in therapeutic effect of acute
myocardial infarction patients undergoing percutaneous coronary intervention
#MMPMID29551930
Yao G
; Su G
; Li K
; Li B
; Dong H
Saudi J Biol Sci
2017[Dec]; 24
(8
): 1818-1820
PMID29551930
show ga
OBJECTIVES: Comparison of Ticagrelor vs clopidogrel in antiplatelet therapeutic
effect of acute myocardial infarction patients undergoing percutaneous coronary
intervention. METHODS: The study focused on 2000 acute myocardial infarction
patients undergoing percutaneous coronary intervention (PCI) in our hospital from
January 2013 to December 2015. To reduce the formation of acute stent thrombosis
caused by clopidogrel resistance, we had two options, one was to double the
dosage of clopidogrel, and the other was to substitute ticagrelor for
clopidogrel. Based on random number table method, the 2000 patients were divided
into experimental group and control group, each containing 1,000 patients. The
patients in experimental group took 180?mg ticagrelor before PCI and 90?mg
ticagrelor twice a day after PCI (Gu, 2016). In contrast, the patients control
group took 600?mg clopidogrel before PCI and 150?mg clopidogrel once a day after
PCI. Both groups were drawn 2.7?ml of fasting venous blood for platelet
aggregation rate test before PCI and 2?h, 24?h, 7?days after PCI respectively.
Turbidimetric method was used to measure the ADP-induced platelet aggregation
rate and observe change of platelet aggregation rate and success rate. Incidence
of liver and kidney malfunction and adverse actions were monitored. All patients
accepted a 6-month of follow-up examination to record and compare incidences of
major adverse cardiac and cerebrovascular events. The statistical results of both
groups are analyzed and compared. RESULTS: The platelet aggregation rate of
experimental group before PCI and 2?h, 24?h, 7?days after PCI was 59.71%?±?7.24%,
59.20%?±?7.70%, 48.66%?±?7.80% and 43.39%?±?8.28%; The control group was
58.04%?±?5.61%, 56.25%?±?6.02%, 55.68%?±?3.14%, 53.94%?±?5.30%; Comparing the
platelet aggregation rate of different time, P was less than 0.05. The success
rate of platelet aggregation of experimental group and control group was 80.56%
and 46.86% respectively. There were significant differences between the two
groups and the P was less than .05. The postoperative serum creatinine level of
experimental group was higher than that in the control group (P?.05). The
incidence of adverse reactions in the experimental group was significantly lower
than that of the control group. There were significant differences between the
two groups and the difference was of statistical significance (P?.05).
According to the 5-month follow-up examination: the incidence of major adverse
cardiac and cerebrovascular events in experimental group was 2.60% (52/2000)
,while the control group was 13.00% (260/2000) . There were significant
differences between the two groups and the difference was of statistical
significance (P?.05). CONCLUSIONS: Compared with clopidogrel, ticagrelor can
achieve better n antiplatelet effect for patients with acute myocardial
infarction undergoing percutaneous coronary intervention (PCI). It can
effectively reduce the incidence of postoperative adverse cardiac and
cerebrovascular events and control the rate of adverse reactions within the
acceptable range.