Ticagrelore Alone Post PCI

Korábbi kezelés

• Atrial fibrillation or other indication for oral anticoagulant therapy.
• Concomitant oral or IV therapy with strong CYP3A inhibitors, CYP3A substrates with narrow therapeutic indices (cyclosporine, and quinidine), or strong CYP3A inducers ( rifampin, rifampicin, phenytoin, and carbamazepine)
• patients with anatomical SYNTAX score ≥23 prior to PCI
• Previous PCI in the last 6 months.
• Current (same hospitalization) or previous (within 12 months) acute coronary syndrome.
• Concomitant cardiac valve disease requiring invasive therapy.
• Participation in another trial with an investigational drug or device.
• Known drug or alcohol dependence within the past 12 months as judged by the investigator.

Más betegség

• Contraindication to aspirin, clopidogrel, ticagrelor, or any other reason that study drug should not be administered (including hypersensitivity, moderate or severe liver disease, active bleeding, and major surgery within 30 days)
• Patients with planned surgical intervention to treat any cardiac or non-cardiac condition.
• History of definite stent thrombosis.
• Acute heart failure.
• History of stroke or transient ischemic cerebrovascular accident.
• History of intracranial hemorrhage or other intracranial pathology associated with increased bleeding risk.
• Any other condition deemed by the investigator to place the patient at excessive risk of bleeding with ticagrelor.

Laborértékek

• Hemoglobin <10 g/dL

Életkor

• Females of child-bearing age unless negative pregnancy test at screening and willing to use effective contraception for the duration of trial

Egyéb

• Females who are breastfeeding at the time of enrolment.
• Unsuccessful PCI or PCI without optimal stent placement; this decision is made by the supervising interventional cardiologist.
• Active myocarditis.
• Cardiomyopathy.
• Patient in hemodialysis.
• Peptic ulceration documented by endoscopy within the last 3 months unless healing proven by repeat endoscopy.
• Assessment that the subject is not likely to comply with the study procedures or have complete follow-up.

• Male or female above 20 years of age undergoing PCI with a drug-eluting stent for chronic coronary syndrome
• The patient has provided written informed consent as approved by the ethics committee of the Shiraz University of Medical Sciences.