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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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Objective: Patients with acute coronary syndrome (ACS) are typically managed with dual antiplatelet therapy of acetylsalicylic acid (aspirin) and P2Y12 receptor inhibitor. In this study, we discussed current and previous antiplatelet therapy guidelines and compared with guidelines of the USA (ACC/AHA), Europe (ESC) and Korea (KSC). Method: This study investigated from ACC/AHA Joint Guidelines (the USA), ESC Clinical Practice Guidelines (Europe) and Korea Society of Interventional Cardiology (Korea) web site, respectively. Results: It is significant that difference between the current and the previous guidelines was integration of terminology from clopidogrel to P2Y12 receptor inhibitors since prasugrel and ticagrelor, new antiplatelet drugs, has been added. The other difference was all three guidelines has differences in dose of aspirin. The most notable difference was class of recommendation (COR) in P2Y12 receptor inhibitors. ACC/AHA and Korean guidelines recommend clopidogrel, prasugrel, and ticagrelor with COR IB; whereas, ESC recommend prasugrel and ticagrelor with IB which is higher than clopidogrel with IC. Conclusion: This research addresses important movement to revise the Korean existing guideline recommendations. New Korean antiplatelet therapy guideline should be avoiding obvious differences in ACC/AHA and ESC guidelines and harmonizing international guidelines.
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참고문헌 (21)
참고문헌 신청
Anderson JL. / 2007 / ACC/AHA 2007 Guidelines for the management of patients with unstable angina/non-ST-elevation myocardial infarction a report of the American college of c
Bavishi C. / / Meta-analysis of comparison of the newer oral P2Y12 inhibitors (prasugrel or ticagrelor) to clopidogrel in patients with non-ST-Elevation acute coronary syndrome / Am J C
Brener SJ. / / Effect of prior aspirin treatment on patients with acute coronary syndromes: insights from the PROSPECT study / J Invasive Cardiol, in press
De Servi S. / 2014 / Clinical outcomes for prasugrel versus clopidogrel in patients with unstable angina or non-STelevation myocardial infarction : an analysis from the TRIT
Fanari Z. / / Cost effectiveness of antiplatelet and antithrombotic therapy in the setting of acute coronary syndrome: current perspective and literature review / Am J Cardiovasc Drugs,
Bavishi C. / / Meta-analysis of comparison of the newer oral P2Y12 inhibitors (prasugrel or ticagrelor) to clopidogrel in patients with non-ST-Elevation acute coronary syndrome / Am J C
Brener SJ. / / Effect of prior aspirin treatment on patients with acute coronary syndromes: insights from the PROSPECT study / J Invasive Cardiol, in press
De Servi S. / 2014 / Clinical outcomes for prasugrel versus clopidogrel in patients with unstable angina or non-STelevation myocardial infarction : an analysis from the TRIT
Fanari Z. / / Cost effectiveness of antiplatelet and antithrombotic therapy in the setting of acute coronary syndrome: current perspective and literature review / Am J Cardiovasc Drugs,
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