Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access
Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc
Journal website https://www.cardiologyres.org

Original Article

Volume 8, Number 3, June 2017, pages 105-110


Comparison of Clopidogrel With Prasugrel and Ticagrelor in Patients With Acute Coronary Syndrome: Clinical Outcomes From the National Cardiovascular Database ACTION Registry

Figures

Figure 1.
Figure 1. Comparison between antiplatelet drugs for clinical outcome of the composite adverse event.
Figure 2.
Figure 2. Comparison between antiplatelet drugs for clinical outcome of the heart failure event.
Figure 3.
Figure 3. Comparison between antiplatelet drugs for clinical outcome of the bleeding event.

Tables

Table 1. Association Between Baseline Characteristics and Composite Clinical Outcome
 
Characteristicsn = 1,388P-value
*Statistical significance.
Age, years (mean ± SD)63 ± 14< 0.001*
Female gender (%)340.067
Caucasian (%)830.43
Body mass index (kg/m2) (mean ± SD)30 ± 80.055
STEMI EKG (%)460.003*
History of heart failure (%)13< 0.001*
Diabetes (%)310.032*
Dyslipidemia (%)610.047*
Hypertension (%)72< 0.001*
Peripheral arterial disease (%)100.22
Prior coronary artery bypass surgery (%)180.32
Prior myocardial infarction (%)290.083
Prior PCI (%)270.64
History of stroke (%)90.008*
History of transient ischemic attack (%)20.01*
History of cerebrovascular disease (%)140.01*
Dialysis-dependent end-stage renal disease (%)1.50.52
Current tobacco use (%)390.061

 

Table 2. Comparison Between Antiplatelet Drugs and Clinical Outcomes
 
OutcomeClopidogrel (n = 1,012)Prasugrel (n = 244)Ticagrelor (n = 142)OR (95% CI) (clopidogrel to prasugrel)OR (95% CI) (clopidogrel to ticagrelor)
*Odds ratio (OR) with statistical significance (P < 0.05). “-” denotes where ORs are undefined and therefore could not be computed. AF: atrial fibrillation; VT/VF: ventricular tachycardia/ventricular fibrillation; MV: mechanical ventilation; CS: cardiogenic shock; HF: heart failure; OR: odds ratio; CI: confidence interval.
AF (%)506-0.73 (0.22 - 2.45)
VT/VF (%)4990.44 (0.09 - 2.23)0.42 (0.14 - 1.25)
MV (%)203-0.49 (0.08 - 2.98)
CS (%)4650.76 (0.41 - 1.42)0.83 (0.37 - 1.88)
HF (%)10452.96 (1.47 - 5.94)*2.02 (0.92 - 4.45)
Bleeding (%)4135.5 (1.32 - 22.85)*1.45 (0.51 - 4.12)
Composite event (%)159161.76 (1.1 - 2.81)*0.92 (0.56 - 1.51)