Deescalation From Ticagrelor to Clopidogrel for Myocardial Infarction With Chronic Kidney Disease

In this secondary analysis of a randomized clinical trial, deescalation from ticagrelor to clopidogrel at 1 month after PCI for AMI was associated with significant reduction in bleeding without increased risk of ischemic events among study-eligible patients with CKD. Further adequately powered studies are needed to validate these findings.

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Publication Details

Journal
JAMA Network Open
Published
2025-05-20
DOI
https://doi.org/10.1001/jamanetworkopen.2025.11297
Primary Topic
Antiplatelet Therapy and Cardiovascular Diseases
Type
article
Field-Weighted Citation Impact
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article

Deescalation From Ticagrelor to Clopidogrel for Myocardial Infarction With Chronic Kidney Disease

Myunhee Lee, Jang Hoon Lee, Jae‐Sik Jang, Eun Ho Choo et al.
JAMA Network Open
Antiplatelet Therapy and Cardiovascular Diseases
article

Deescalation From Ticagrelor to Clopidogrel for Myocardial Infarction With Chronic Kidney Disease

Myunhee Lee, Jang Hoon Lee, Jae‐Sik Jang, Eun Ho Choo, Kiyuk Chang, Young Kyoung, Jaeho Byeon, Ik Jun Choi, Kwang Soo, Kwan Yong Lee, Yun Seok Choi, Byung‐Hee Hwang, Joon Ho Hyeong, Chul Soo Park, Chang Hyeon Cho, Chan Joon Kim, Mahn‐Won Park, Sungmin Lim, Seung Ho Huh, Byung Ryeol Cho, Ki‐Chul Sung, Ju Hyun Oh, Jin Man Cho, Dong‐Bin Kim, Sung‐Ho Her, Won Bae Kim, Sang Hyun Kim, Yong Hoon Cho, Sang‐Wook Kim, Sang‐Ho Park, Jong Sun Park, Myung Ho Jeong, Kyung Min Park, Seoung Hwan Lee, Joo Yeol Baek, Chul‐Soo Park, Sang Hyeon Kim, Byung Joo Shim, Jin Shin Ko, Sang Shik Jung, Kyung Tae Chung, Woo Seung Shin, Ki Sik Kim, Myung Ho Yoon
article en

Abstract

In this secondary analysis of a randomized clinical trial, deescalation from ticagrelor to clopidogrel at 1 month after PCI for AMI was associated with significant reduction in bleeding without increased risk of ischemic events among study-eligible patients with CKD. Further adequately powered studies are needed to validate these findings.

JAMA Network OpenVol. 8(5)
San Diego State University (US), The Catholic University of Korea St. Vincent's Hospital (KR), The Catholic University of Korea Incheon St. Mary's Hospital (KR), The Catholic University of Korea Uijeongbu St. Mary's Hospital (KR), The Catholic University of Korea Yeouido St. Mary's Hospital (KR), The Catholic University of Korea Daejeon St. Mary's Hospital (KR), Armed Forces Capital Hospital (KR), The Catholic University of Korea Seoul St. Mary's Hospital (KR), Catholic University of Korea (KR)
Good health and well-being
Openalex Percentile: Top 80%
Antiplatelet Therapy and Cardiovascular Diseases
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