Guided de-escalation of antiplatelet treatment in patients at high atherothrombotic risk presenting with acute coronary syndrome: a <i>post hoc</i> analysis of the TROPICAL-ACS trial

Early PFT-guided de-escalation from prasugrel to clopidogrel was safe across atherothrombotic risk categories, supporting individualized DAPT optimization in ACS patients with both low and high ischemic risk.

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Publication Details

Journal
European Heart Journal Acute Cardiovascular Care
Published
2025-12-23
DOI
https://doi.org/10.1093/ehjacc/zuaf172
Primary Topic
Antiplatelet Therapy and Cardiovascular Diseases
Type
article
Field-Weighted Citation Impact
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article

Guided de-escalation of antiplatelet treatment in patients at high atherothrombotic risk presenting with acute coronary syndrome: a post hoc analysis of the TROPICAL-ACS trial

T. Geisler, L. KOLTOWSKI, Lisa Groß, Konstantinos D. Rizas et al.
European Heart Journal Acute Cardiovascular Care
Antiplatelet Therapy and Cardiovascular Diseases
article

Guided de-escalation of antiplatelet treatment in patients at high atherothrombotic risk presenting with acute coronary syndrome: a post hoc analysis of the TROPICAL-ACS trial

T. Geisler, L. KOLTOWSKI, Lisa Groß, Konstantinos D. Rizas, Dominik Naumann, Ralph Hein, Dietmar Trenk, Monika Baylacher, Birgit Vogel, Kurt Huber, Steffen Massberg, A. G. Low, Martin Orban, Mathias Orban, Dirk Sibbing, Serdar Farhan, Zenon Huczek
article en

Abstract

Early PFT-guided de-escalation from prasugrel to clopidogrel was safe across atherothrombotic risk categories, supporting individualized DAPT optimization in ACS patients with both low and high ischemic risk.

European Heart Journal Acute Cardiovascular Care
Cardiovascular Institute of the South (US), Medical University of Warsaw (PL), Lenox Hill Hospital (US), LMU Klinikum (DE), University of Applied Sciences Burgenland (AT), Ludwig Boltzmann Institute for Age Research (AT), University Children's Hospital Tübingen (DE), German Centre for Cardiovascular Research (DE), Universitäts-Herzzentrum Freiburg-Bad Krozingen (DE), Sexual Health Clinic (FI), University of Tübingen (DE), Ludwig-Maximilians-Universität München (DE), Icahn School of Medicine at Mount Sinai (US)
Good health and well-being
Openalex Percentile: Top 31%
Antiplatelet Therapy and Cardiovascular Diseases
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