landmark trials Flashcards

1
Q

PLATO trial

A
  • compared ticagrelor to clopidogrel inPTs with ACS
  • ticagrelor had better mortality results but had greater risk of bleeding
  • **but in Europe, the American subgroup had worse outcomes with ticagrelor bc of they were taking high doses of ASA –> black box warning that doess of ASA >100 mg decrease the effectiveness of ticagrelor
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2
Q

4S trial and CARE trial

A
  • LDL-reducing agents (ie: statins) decrease the risk of adverse ischemic events in PTs with established CAD
  • statins reduce mortaility and major coronary events in PTs with known CAD or previous MI
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3
Q

SAVE and SOLVD

A
  • ACEI reduce the rate of recurrent MI
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4
Q

HOPE trial

A
  • ACEI reduce incidence of cardiovascular death, MI and stroke in PTs at high risk for or had vascular disease
  • can’t be attributed to decline in BP alone
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5
Q

RALES

A
  • low-dose sprinolactone was added to ACEI in PTs with class III or IV CHF and recent hospitilizations
  • risk of disk was reduced by 30% and hospitilization by 35%
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