Premature Ticagrelor Discontinuation in Secondary Prevention of Atherosclerotic CVD: JACC Review Topic of the Week.

Author: AroraSameer, DasSandeep R, GargSushil K, GuptaAnkur, KhaliliHouman, KumbhaniDharam J, MayoHelen, PandeyAmbarish, QamarArman, ShemisaKamal, VaduganathanMuthiah

Paper Details 
Original Abstract of the Article :
Ticagrelor is a cornerstone of modern antithrombotic therapy alongside aspirin in patients with acute coronary syndrome and after percutaneous coronary intervention. Adverse effects such as bleeding and dyspnea have been associated with premature ticagrelor discontinuation, which may limit any poten...See full text at original site
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引用元:
https://doi.org/10.1016/j.jacc.2019.03.470

データ提供:米国国立医学図書館(NLM)

Ticagrelor: A Desert of Potential Benefits and Challenges

Ticagrelor, like a powerful camel traversing the desert of cardiovascular disease, plays a critical role in modern antithrombotic therapy. This review, like a careful examination of a camel's journey, delves into the potential benefits and challenges associated with ticagrelor, particularly focusing on the incidence and causes of premature discontinuation. The authors investigate the factors that can hinder the effectiveness of ticagrelor, a medication designed to prevent blood clots in patients with cardiovascular disease.

Navigating the Sand Dunes: Understanding the Challenges

The review, like a map revealing the hidden paths of the desert, reveals that premature ticagrelor discontinuation is a significant concern, occurring in about 25% of patients. Bleeding and dyspnea, like unexpected sandstorms, emerge as the most common causes for discontinuation. This underscores the need for careful monitoring and patient education to optimize adherence to ticagrelor therapy and minimize the risk of these adverse events.

A Journey of Collaboration: Improving Adherence and Outcomes

This review, like a caravan sharing knowledge and resources, emphasizes the importance of patient-physician collaboration in managing ticagrelor therapy. By understanding the potential barriers to adherence and recognizing the biological mechanisms underlying adverse events, healthcare professionals can work with patients to develop personalized strategies that maximize the benefits and minimize the risks associated with ticagrelor therapy.

Dr.Camel's Conclusion

This review provides a comprehensive exploration of the potential benefits and challenges associated with ticagrelor, a medication that plays a vital role in preventing blood clots in patients with cardiovascular disease. The authors highlight the importance of understanding the factors that can hinder adherence to ticagrelor therapy, such as bleeding and dyspnea. By working closely with patients and addressing these challenges, healthcare professionals can help optimize the effectiveness of ticagrelor therapy and improve patient outcomes.

Date :
  1. Date Completed 2020-03-30
  2. Date Revised 2020-03-30
Further Info :

Pubmed ID

31097167

DOI: Digital Object Identifier

10.1016/j.jacc.2019.03.470

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Languages

English

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