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A total of 50 participants diagnosed with ACS (group A ticagrelor 180mg/d, n=25), group B (clopidogrel 75mg + rivaroxaban 5mg/ d, n=25)) were consecutively enrolled and treated with study drugs on top of aspirin (100mg/d) for 1 month. VerifyNow® and Global thrombosis test were performed at day 2 and 1 month after administration of study drugs. The investigators compared aspirin reaction unit (ARU) and P2Y12 reaction unit (PRU), occlusion time (OT) which reflects shear stress-induced thrombotic activity, and lysis time (LT) which showed endogenous lytic activity between the two strategies at both time points.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ticagrelor | ACS patients treated with aspirin (100mg/d) and ticagrelor (90mg bid) | ||
| Clopidogrel + very low dose rivaroxaban | ACS patients treated with aspirin (100mg/d), clopidogrel(75mg/d) and very low dose rivaroxaban (2.5mg bid) |
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| Measure | Description | Time Frame |
|---|---|---|
| Occlusion time | Global thrombosis test | 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| Lysis time | Global thrombosis test | 1 month |
| Occlusion time | Global thrombosis test | Day 2 |
| Measure | Description | Time Frame |
|---|---|---|
| major adverse cardiovascular outcome | composites of cardiac death, myocardial infarction and target lesion revascularization | 1 month |
| BARC bleeding | ARC definition |
Inclusion Criteria:
Exclusion Criteria:
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Fifty-six patients from 452 patients who underwent percutaneous coronary intervention (PCI) due to ACS in Seoul National University Bundang Hospital. ( April 2017~ January 2018)
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| Name | Affiliation | Role |
|---|---|---|
| Jung-Won Suh | Seoul National University Bundang Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Bundang Hospital | Seongnam-si | Gyeonggi-do | 463707 | South Korea |
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| ID | Term |
|---|---|
| D054058 | Acute Coronary Syndrome |
| D000789 | Angina, Unstable |
| ID | Term |
|---|---|
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D014652 | Vascular Diseases |
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| Lysis time | Global thrombosis test | Day 2 |
| P2Y12 reaction unit | VerifyNow test | Day 2 and 1 month |
| Aspirin reaction unit | VerifyNow test | Day 2 and 1 month |
| 1 month |
| D000787 |
| Angina Pectoris |
| D002637 | Chest Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |