Actualités dans la gestion des syndromes coronariens aigus

Actualités dans la gestion des syndromes coronariens aigus Actualités dans la gestion des syndromes coronariens aigus

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12.01.2015 Views

Inhibition of Platelet Aggregation (IPA) at 24 Hours (Healthy Volunteers) Inhibition of platelet aggregation (%) 100.0 80.0 60.0 40.0 20.0 0.0 -20.0 Interpatient variability Response to clopidogrel *Responder = ≥25% IPA at 4 and 24 hours. Brandt et al. Am Heart J. 2007;153:66e9-66e16. Clopidogrel responder Clopidogrel nonresponder Response to prasugrel Interpatient variability

15 TRITON study : Primary Endpoint CV Death,MI,Stroke Primary Endpoint (%) 10 5 HR 0.77 P=0.0001 HR 0.80 P=0.0003 Clopidogrel Prasugrel 12.1% (781) 9.9% (643) HR 0.81 (0.73-0.90) P=0.0004 NNT= 46 0 ITT= 13,608 LTFU = 14 (0.1%) 0 30 60 90 180 270 360 450 Days Wiviott N Engl J Med 2007;357:2001

15<br />

TRITON study : Primary Endpoint CV<br />

Death,MI,Stroke<br />

Primary Endpoint (%)<br />

10<br />

5<br />

HR 0.77<br />

P=0.0001<br />

HR 0.80<br />

P=0.0003<br />

Clopidogrel<br />

Prasugrel<br />

12.1%<br />

(781)<br />

9.9%<br />

(643)<br />

HR 0.81<br />

(0.73-0.90)<br />

P=0.0004<br />

NNT= 46<br />

0<br />

ITT= 13,608 LTFU = 14 (0.1%)<br />

0 30 60 90 180 270 360 450<br />

Days Wiviott N Engl J Med 2007;357:2001

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