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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
How do cardiologists select patients for dual antiplatelet therapy continuation beyond 1 year after a myocardial infarction? Insights from the EYESHOT Post-MI Study
Clinical Cardiology, Volume 42, No. 11, Year 2019
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Description
Background: Current guidelines suggest to consider dual antiplatelet therapy (DAPT) continuation for longer than 12 months in selected patients with myocardial infarction (MI). Hypothesis: We sought to assess the criteria used by cardiologists in daily practice to select patients with a history of MI eligible for DAPT continuation beyond 1 year. Methods: We analyzed data from the EYESHOT Post-MI, a prospective, observational, nationwide study aimed to evaluate the management of patients presenting to cardiologists 1 to 3 years from the last MI event. Results: Out of the 1633 post-MI patients enrolled in the study between March and December 2017, 557 (34.1%) were on DAPT at the time of enrolment, and 450 (27.6%) were prescribed DAPT after cardiologist assessment. At multivariate analyses, a percutaneous coronary intervention (PCI) with multiple stents and the presence of peripheral artery disease (PAD) resulted as independent predictors of DAPT continuation, while atrial fibrillation was the only independent predictor of DAPT interruption for patients both at the second and the third year from MI at enrolment and the time of discharge/end of the visit. Conclusions: Risk scores recommended by current guidelines for guiding decisions on DAPT duration are underused and misused in clinical practice. A PCI with multiple stents and a history of PAD resulted as the clinical variables more frequently associated with DAPT continuation beyond 1 year from the index MI. © 2019 The Authors. Clinical Cardiology published by Wiley Periodicals, Inc.
Authors & Co-Authors
De Luca, Leonardo
Unknown Affiliation
Colivicchi, Furio
Italy, Rome
Azienda Complesso Ospedaliero San Filippo Neri
Uguccioni, Massimo
Italy, Rome
Azienda Ospedaliera San Camillo Forlanini
Gabrielli, Domenico
Unknown Affiliation
Gulizia, Michele Massimo
Unknown Affiliation
Benvenga, Rossella Maria
Unknown Affiliation
Oltrona-Visconti, Luigi
Italy, Pavia
Fondazione Irccs Policlinico San Matteo
Cirillo, Plinio L.
Italy, Naples
Azienda Ospedaliera Universitaria Federico Ii
Mauro, Ciro
Italy, Naples
Azienda Ospedaliera Di Rilievo Nazionale Antonio Cardarelli
Calabrò, Paolo
Unknown Affiliation
Borrelli, Nunzia
Unknown Affiliation
Indolfi, Ciro
Unknown Affiliation
De Rosa, Salvatore
Unknown Affiliation
Torella, Daniele
Unknown Affiliation
Morici, Nuccia
Unknown Affiliation
Della Rovere, Francesco
Unknown Affiliation
Pennacchi, Mauro
Unknown Affiliation
Geraci, Giovanna
Unknown Affiliation
Di Lenarda, Andrea
Unknown Affiliation
Contaldi, Carla
Unknown Affiliation
Caldarola, Pasquale
Unknown Affiliation
Lupi, Alessandro
Unknown Affiliation
Navazio, Alessandro
Italy, Reggio Emilia
Reggio Emilia
Cemin, Roberto
Unknown Affiliation
Tespili, Maurizio
Unknown Affiliation
Varbella, Ferdinando
Unknown Affiliation
Meynet, Ilaria
Unknown Affiliation
Bilato, Claudio
Unknown Affiliation
Brunetti, Natale Daniele
Unknown Affiliation
Francese, Giuseppina Maura
Unknown Affiliation
Saporito, Francesco
Unknown Affiliation
Antonicelli, Roberto
Italy, Ancona
Istituto Nazionale Riposo e Cura Anziani
Di Mario, Carlo D.
Unknown Affiliation
Giubilato, Simona
Unknown Affiliation
Amico, Antonio Francesco
Unknown Affiliation
Carugo, Stefano
Unknown Affiliation
Persico, M.
Unknown Affiliation
Campana, Carlo
Unknown Affiliation
Calabro, F.
Unknown Affiliation
Abrignani, Maurizio Giuseppe
Unknown Affiliation
Prati, Francesco
Unknown Affiliation
Mohamad, Bashar
Unknown Affiliation
Bovolo, Virginia
Unknown Affiliation
Pieri, Marina
Unknown Affiliation
Paloscia, Leonardo
Unknown Affiliation
Costa, Paola
Unknown Affiliation
Cianflone, Domenico
Unknown Affiliation
Caliendo, Luigi
Unknown Affiliation
Ricci, Cristian
Unknown Affiliation
Fattore, Luciano
Unknown Affiliation
Perotti, Mariarosa R.
Italy, Pavia
Istituti Clinici Scientifici Maugeri Spa – sb
Casu, Gavino
Unknown Affiliation
Pitì, Antonino
Unknown Affiliation
Testa, Luca
Unknown Affiliation
Statistics
Citations: 4
Authors: 54
Affiliations: 15
Identifiers
Doi:
10.1002/clc.23262
ISSN:
01609289
Study Design
Randomised Control Trial
Cohort Study