Antithrombotic therapy in patients with acute coronary syndrome: similarities and differences between a European expert consensus document and the 2023 European Society of Cardiology guidelines

被引：10

作者：

Landi, Antonio ^{[1
,2
]}

Aboyans, Victor ^{[3
,4
]}

Angiolillo, Dominick J. ^{[5
]}

Atar, Dan ^{[6
,7
]}

Capodanno, Davide ^{[8
]}

Fox, Keith A. A. ^{[9
]}

Halvorsen, Sigrun ^{[10
,11
]}

James, Stefan ^{[12
]}

Juni, Peter ^{[13
,14
]}

Leonardi, Sergio ^{[15
,16
]}

Mehran, Roxana ^{[17
]}

Montalescot, Gilles ^{[18
]}

Navarese, Eliano Pio ^{[19
]}

Niebauer, Josef ^{[20
]}

Oliva, Angelo ^{[21
]}

Piccolo, Raffaele ^{[22
]}

Price, Susanna ^{[23
]}

Storey, Robert F. ^{[24
]}

Voeller, Heinz ^{[25
]}

Vranckx, Pascal ^{[26
,27
]}

Windecker, Stephan ^{[28
]}

Valgimigli, Marco ^{[1
,2
,29
]}

机构：

[1] Cardioctr Ticino Inst, Ente Ospedaliero Cantonale EOC, Tesserete 48, CH-6900 Lugano, Switzerland

[2] Univ Italian Switzerland, Dept Biomed Sci, Lugano, Switzerland

[3] Univ Limoges, Dupuytren Univ Hosp, Dept Cardiol, 2 Martin Luther King Ave, F-87042 Limoges, France

[4] Univ Limoges, INSERM 1094 & IRD, 2 Martin Luther King Ave, F-87042 Limoges, France

[5] Univ Florida, Coll Med Jacksonville, Div Cardiol, 655 West 8th St, Jacksonville, FL 32209 USA

[6] Oslo Univ Hosp Ulleval, Dept Cardiol, Oslo, Norway

[7] Univ Oslo, Inst Clin Med, Oslo, Norway

[8] Univ Catania, Div Cardiol, Azienda Osped Univ Policlin G Rodol San Marco, Via St Sofia 78, I-95123 Catania, Italy

[9] Univ Edinburgh, Div Clin & Surg Sci, Ctr Cardiovasc Sci, Edinburgh, Midlothian, Scotland

[10] Univ Oslo, Inst Clin Med, POB 1078, N-0316 Oslo, Norway

[11] Oslo Univ Hosp Ulleval, Dept Cardiol, Oslo, Norway

[12] Uppsala Univ, Uppsala Clin Res Ctr, Dept Med Sci, S-75185 Uppsala, Sweden

[13] Univ Oxford, Nuffield Dept Populat Hlth, Clin Trial Serv Unit, Oxford, England

[14] Univ Oxford, Nuffield Dept Populat Hlth, Epidemiol Studies Unit CTSU, Oxford, England

[15] Univ Pavia, Pavia, Italy

[16] Fdn IRCCS Policlin San Matteo, Coronary Care Unit, Pavia, Italy

[17] Icahn Sch Med Mt Sinai, Zena & Michael A Wiener Cardiovasc Inst, New York, NY 10029 USA

[18] Sorbonne Univ, Assistance Publ Hop Paris, ACTION Grp,Hop Pitie Salpetriere, INSERM,UMRS 1166,Inst Cardiol, Paris, France

[19] Univ Sassari, Dept Clin Intervent Cardiol, Clin Expt Cardiol, Sassari, Sardinia Isl, Italy

[20] Paracelsus Med Univ Salzburg, Univ Inst Sports Med Prevent & Rehabil, A-5020 Salzburg, Austria

[21] Humanitas Univ, Dept Biomed Sci, I-20090 Pieve Emanuele Milan, Italy

[22] Univ Naples Federico II, Dept Adv Biomed Sci, Div Cardiol, Naples, Italy

[23] Imperial Coll, Natl Heart & Lung Inst, Royal Brompton Hosp, London, England

[24] Univ Sheffield, Div Clin Med, Cardiovasc Res Unit, Sheffield, S Yorkshire, England

[25] Univ Potsdam, Fac Hlth Sci Brandenburg, Dept Rehabil Med, Potsdam, Germany

[26] Hasselt Univ, Dept Cardiol & Crit Care Med, Hartctr Hasselt, Hasselt, Belgium

[27] Hasselt Univ, Fac Med & Life Sci, Hasselt, Belgium

[28] Univ Bern, Dept Cardiol, Inselspital, Bern, Switzerland

[29] Univ Bern, Bern, Switzerland

来源：

EUROPEAN HEART JOURNAL-ACUTE CARDIOVASCULAR CARE | 2024年 / 13卷 / 01期

关键词：

Antithrombotic therapy; Acute coronary syndrome; Coronary artery disease; Antiplatelets; DUAL-ANTIPLATELET THERAPY; ACADEMIC RESEARCH CONSORTIUM; HIGH BLEEDING RISK; COLLABORATIVE METAANALYSIS; MYOCARDIAL-INFARCTION; SECONDARY PREVENTION; ASPIRIN MONOTHERAPY; STENT IMPLANTATION; UNSTABLE ANGINA; CLOPIDOGREL;

D O I：

10.1093/ehjacc/zuad158

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Antithrombotic therapy represents the cornerstone of the pharmacological treatment in patients with acute coronary syndrome (ACS). The optimal combination and duration of antithrombotic therapy is still matter of debate requiring a critical assessment of patient comorbidities, clinical presentation, revascularization modality, and/or optimization of medical treatment. The 2023 European Society of Cardiology (ESC) guidelines for the management of patients with ACS encompassing both patients with and without ST segment elevation ACS have been recently published. Shortly before, a European expert consensus task force produced guidance for clinicians on the management of antithrombotic therapy in patients with ACS as well as chronic coronary syndrome. The scope of this manuscript is to provide a critical appraisal of differences and similarities between the European consensus paper and the latest ESC recommendations on oral antithrombotic regimens in ACS patients.

引用

页码：173 / 180

页数：8

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