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Effect of clopidogrel plus ASA vs. ASA early after TIA and ischaemic stroke: a substudy of the CHARISMA trial

Identifieur interne : 006449 ( Main/Exploration ); précédent : 006448; suivant : 006450

Effect of clopidogrel plus ASA vs. ASA early after TIA and ischaemic stroke: a substudy of the CHARISMA trial

Auteurs : Graeme J. Hankey [Australie] ; S. Claiborne Johnston [États-Unis] ; J. Donald Easton [États-Unis] ; Werner Hacke [Allemagne] ; Jean-Louis Mas [France] ; Danielle Brennan [États-Unis] ; Koon Hou Mak [Singapour] ; Deepak L. Bhatt [États-Unis] ; Keith A. A. Fox [Royaume-Uni] ; Eric J. Topol [États-Unis]

Source :

RBID : ISTEX:D69DC0871888C0B2F7EAF5CE91169BEF8A65C3F6

English descriptors

Abstract

Background The Clopidogrel for High Atherothrombotic Risk and Ischaemic Stabilisation, Management and Avoidance (CHARISMA) trial reported no statistically significant benefit of adding clopidogrel to acetylsalicylic acid in the long‐term management of a broad population of patients with stable vascular disease. However, a subanalysis raised the hypothesis that dual antiplatelet therapy with clopidogrel plus acetylsalicylic acid may be more effective than aspirin in patients with prior ischaemic stroke, myocardial infarction of symptomatic peripheral arterial disease. We aimed to determine whether the possible benefits of clopidogrel plus acetylsalicylic acid in patients with transient ischaemic attack and ischaemic stroke may be ‘front‐loaded’, and maximal within the first 30‐days of randomisation, without being unduly hazardous.

Url:
DOI: 10.1111/j.1747-4949.2010.00535.x


Affiliations:


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Le document en format XML

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<term>Acetylsalicylic acid</term>
<term>Antiplatelet therapy</term>
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<term>February</term>
<term>Final version</term>
<term>Haemorrhage</term>
<term>Haemorrhagic stroke</term>
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<term>Hazard ratio</term>
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<term>International journal</term>
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<div type="abstract">Background The Clopidogrel for High Atherothrombotic Risk and Ischaemic Stabilisation, Management and Avoidance (CHARISMA) trial reported no statistically significant benefit of adding clopidogrel to acetylsalicylic acid in the long‐term management of a broad population of patients with stable vascular disease. However, a subanalysis raised the hypothesis that dual antiplatelet therapy with clopidogrel plus acetylsalicylic acid may be more effective than aspirin in patients with prior ischaemic stroke, myocardial infarction of symptomatic peripheral arterial disease. We aimed to determine whether the possible benefits of clopidogrel plus acetylsalicylic acid in patients with transient ischaemic attack and ischaemic stroke may be ‘front‐loaded’, and maximal within the first 30‐days of randomisation, without being unduly hazardous.</div>
</front>
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<region name="Île-de-France">
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