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Early treatment with inhibitors of P2Y12 receptor in patients with ST-segment elevation myocardial infarction - 2023 ESC recommendations and scientific evidence. Is clinical evidence sufficient to suggest a move towards precision medicine? The ELECTRA-SIRIO 2 investigators' viewpoint
- Kubica, Jacek;
- Adamski, Piotr;
- Badariene, Jolita;
- Bonaca, Marc;
- Buszman, Piotr;
- ... Jeong, Young-Hoon;
- 외 26명
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1초록
The 2023 ESC guidelines changed previously recommended a strategy of early treatment in patients with STEMI. Pre-treatment with a P2Y12 receptor inhibitor may be considered in patients undergoing a primary PCI strategy (Class IIb, Level of evidence B). However, the available scientific evidence justifies a personalized approach differentiating the indications for pre-treatment with oral P2Y12 receptor inhibitors depending on the concomitant administration of opioids. In our opinion, in patients undergoing primary PCI not treated with opioids, pre-treatment with an oral P2Y12 receptor inhibitor should be applied, while in patients undergoing primary PCI treated with opioids, pre-treatment with an oral P2Y12 receptor inhibitor should be considered.
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- 제목
- Early treatment with inhibitors of P2Y12 receptor in patients with ST-segment elevation myocardial infarction - 2023 ESC recommendations and scientific evidence. Is clinical evidence sufficient to suggest a move towards precision medicine? The ELECTRA-SIRIO 2 investigators' viewpoint
- 저자
- Kubica, Jacek; Adamski, Piotr; Badariene, Jolita; Bonaca, Marc; Buszman, Piotr; Gabulova, Rahima; Gajda, Robert; Geisler, Tobias; Gil, Robert; Gorog, Diana A; Gurbel, Paul A; Hajdukiewicz, Tomasz; Hudzik, Bartosz; James, Stefan; Jeong, Young-Hoon; Kern, Adam; Kochman, Wacław; Kubica, Aldona; Kuliczkowski, Wiktor; Magielski, Przemysław; Niezgoda, Piotr; Ostrowska, Małgorzata; Raggi, Paolo; Rahimov, Uzeyir; Skonieczny, Grzegorz; Siller-Matula, Jolanta M; Specchia, Giuseppe; Szarpak, Łukasz; Szymański, Paweł; Tantry, Udaya; Umińska, Julia; Navarese, Eliano Pio
- DOI
- 10.5603/cj.99973
- 발행일
- 2025-03
- 유형
- Review; Early Access
- 권
- 32
- 호
- 2
- 페이지
- 189 ~ 194