Glycoprotein IIbIIIa Inhibitors Use and Outcome after Percutaneous Coronary Intervention for Non-ST Elevation Myocardial Infarction
Joint Authors
Rathod, K.
Knight, C.
Wragg, A.
Mathur, A.
Antoniou, S.
Wright, P.
Howard, J. P.
Jones, D. A.
Gallagher, S.
Weerackody, R.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-05-08
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Aims.
We investigate the effect of glycoprotein IIb/IIIa (GP IIb/IIIa) inhibitors on long-term outcomes following percutaneous coronary intervention (PCI) after non-ST elevation myocardial infarction (NSTEMI).
Meta-analyses indicate that these agents are associated with improved short-term outcomes.
However, many trials were undertaken before the routine use of P2Y12 inhibitors.
Recent studies yield conflicting results and registry data have suggested that GP IIb/IIIa inhibitors may cause more bleeding than what trials indicate.
Methods and Results.
This retrospective observational study involves 3047 patients receiving dual-antiplatelet therapy who underwent PCI for NSTEMI.
Primary outcome was all-cause mortality.
Major adverse cardiac events (MACE) were a secondary outcome.
Mean follow-up was 4.6 years.
Patients treated with GP IIb/IIIa inhibitors were younger with fewer comorbidities.
Although the unadjusted Kaplan-Meier analysis suggested that GP IIb/IIIa inhibitor use was associated with improved outcomes, multivariate analysis (including propensity scoring) showed no benefit for either survival (P=0.136) or MACE (P=0.614).
GP IIb/IIIa inhibitor use was associated with an increased risk of major bleeding (P=0.021).
Conclusion.
Although GP IIb/IIIa inhibitor use appeared to improve outcomes after PCI for NSTEMI, patients who received GP IIb/IIIa inhibitors tended to be at lower risk.
After multivariate adjustment we observed no improvement in MACE or survival and an increased risk of major bleeding.
American Psychological Association (APA)
Howard, J. P.& Jones, D. A.& Gallagher, S.& Rathod, K.& Antoniou, S.& Wright, P.…[et al.]. 2014. Glycoprotein IIbIIIa Inhibitors Use and Outcome after Percutaneous Coronary Intervention for Non-ST Elevation Myocardial Infarction. BioMed Research International،Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-487734
Modern Language Association (MLA)
Howard, J. P.…[et al.]. Glycoprotein IIbIIIa Inhibitors Use and Outcome after Percutaneous Coronary Intervention for Non-ST Elevation Myocardial Infarction. BioMed Research International No. 2014 (2014), pp.1-8.
https://search.emarefa.net/detail/BIM-487734
American Medical Association (AMA)
Howard, J. P.& Jones, D. A.& Gallagher, S.& Rathod, K.& Antoniou, S.& Wright, P.…[et al.]. Glycoprotein IIbIIIa Inhibitors Use and Outcome after Percutaneous Coronary Intervention for Non-ST Elevation Myocardial Infarction. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-8.
https://search.emarefa.net/detail/BIM-487734
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-487734