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Antiplatelet agents and randomized trials.

Antiplatelet agents and randomized trials. Research Abstract Details 

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  • Antiplatelet agents and randomized trials. Abstract Text:

    hans-christoph dienerHans-Christoph Diener,hans-christoph dienerHans-Christoph Diener,hans-christoph dienerHans-Christoph Diener,

    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 prevention includes antithrombotic therapy, treatment of risk factors, and interventional treatment of carotid stenosis. Antithrombotic options can include antiplatelet drugs such as aspirin, aspirin plus extended-release dipyridamole (ER-DP), clopidogrel, or clopidogrel plus aspirin. Oral anticoagulation is used in patients with a cardiac source of embolism such as atrial fibrillation. Aspirin monotherapy offers a modest risk reduction for recurrent stroke and for the combined endpoint of nonfatal stroke, myocardial infarction (MI), and vascular death. The combination of ER-DP and aspirin was shown to be superior to aspirin monotherapy in several trials. Clopidogrel is superior to aspirin in high-risk patients suffering from stroke, MI, or peripheral arterial disease. The combination of clopidogrel plus aspirin is not superior to aspirin or clopidogrel monotherapy and carries a significantly higher bleeding risk. The combination might offer benefit in short-term secondary prevention after TIA or stroke. Another ongoing trial is currently investigating the possible benefit and side effects of aspirin plus ER-DP versus clopidogrel in secondary stroke prevention.

    Antiplatelet agents and randomized trials. Publishing Authors By Initials

    hc dienerHC Diener,hc dienerHC Diener,hc dienerHC Diener,

    For similar abstracts research abstracts see: abstracts research

    PUBMED ID PMID:

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    Antiplatelet agents and randomized trials. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Reviews in neurological diseases

    VOLUME: 4

    Page Numbers: 177-83

    Journal Abbreviation:

    ISSN: 1545-2913

    DAY: 15

    MONTH: 01

    YEAR: 2007

    Antiplatelet agents and randomized trials. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 101223246

    Antiplatelet agents and randomized trials. Keywords Mesh Terms:

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    Grant and Affiliation Information for Antiplatelet agents and randomized trials.

    AFFILIATION: Department of Neurology, University Dusiburg-Essen, Essen, Germany.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: Rev Neurol Dis

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