Antiplatelet agents and randomized trials.

Author: DienerHans-Christoph

Paper Details 
Original Abstract of the Article :
Patients who have transient ischemic attack (TIA) or ischemic stroke are at a high risk of having a first or recurrent stroke. The annual risk is between 5% and 15%; the risk is highest in the first 48 hours following a TIA and highest in the first 7 days following an ischemic stroke. Secondary prev...See full text at original site
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引用元:
https://pubmed.ncbi.nlm.nih.gov/18195669

データ提供:米国国立医学図書館(NLM)

Preventing Stroke: Antiplatelet Agents and Secondary Prevention

The study of stroke prevention is a critical area of research, and this paper explores the role of antiplatelet agents in reducing the risk of recurrent stroke. The authors focus on secondary prevention, aiming to minimize the risk of another stroke after a patient has already experienced a transient ischemic attack (TIA) or ischemic stroke. The article reviews the effectiveness of various antiplatelet agents, including aspirin, aspirin plus extended-release dipyridamole (ER-DP), clopidogrel, and clopidogrel plus aspirin, in reducing the risk of stroke, myocardial infarction (MI), and vascular death. The study provides a comprehensive overview of the current evidence and highlights the need for further research.

Antiplatelet Agents: A Powerful Tool for Stroke Prevention

This study, like a seasoned traveler navigating the treacherous paths of stroke prevention, explores the effectiveness of antiplatelet agents in secondary prevention. The researchers found that aspirin monotherapy offered a modest reduction in recurrent stroke risk, while the combination of ER-DP and aspirin showed superior results in several trials. Clopidogrel, on the other hand, emerged as a more effective alternative to aspirin in high-risk patients. This research provides valuable insights into the effectiveness of various antiplatelet agents in preventing recurrent stroke.

A Balancing Act: Risk Reduction and Bleeding

This research highlights the importance of balancing the benefits of antiplatelet agents with the risks of bleeding, a delicate balancing act akin to navigating a narrow desert passage. While antiplatelet agents can effectively reduce the risk of recurrent stroke, they can also increase the risk of bleeding. The researchers emphasize that the combination of clopidogrel plus aspirin carries a significantly higher bleeding risk, suggesting that careful consideration is required when choosing an antiplatelet treatment.

Dr.Camel's Conclusion

Stroke prevention is a complex desert landscape, and the choice of antiplatelet agents is a crucial part of the journey. This research provides valuable insights into the effectiveness of various antiplatelet agents in reducing the risk of recurrent stroke. However, like a seasoned traveler navigating the dunes, it is essential to carefully weigh the benefits of these agents against the risks of bleeding. Further research is needed to optimize the use of antiplatelet agents for stroke prevention and minimize the risk of complications.

Date :
  1. Date Completed 2008-02-19
  2. Date Revised 2018-12-01
Further Info :

Pubmed ID

18195669

DOI: Digital Object Identifier

18195669

SNS
PICO Info
in preparation
Languages

English

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