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Meta-regression to identify patients deriving the greatest benefit from dual antiplatelet therapy after stroke or transient ischemic attack without thrombolytic or thrombectomy treatment

The American Journal of Cardiology May 31, 2019

Patti G, et al. - In an attempt to describe the patient profile of someone who would get the most benefit from dual antiplatelet therapy (DAPT) following a non-cardioembolic, ischemic cerebrovascular event, researchers assessed DAPT vs single antiplatelet therapy (SAPT) in patients with stroke or transient ischemic attack (TIA) in this meta-regression analysis of 11 trials with 24,175 patients. Overall 12,074 patients were prescribed DAPT (aspirin plus clopidogrel) and 12,101 were treated with SAPT following a stroke or TIA event. Patients with stroke or TIA who have a higher baseline risk profile, greater stroke severity or concomitant carotid disease, who initiated DAPT in ≤7 days and took DAPT for ≤3 months were found to get the highest benefit from DAPT in this study.

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