Evidence map›Paper›PMID 32435688›Full record

ArticleInternational journal of cardiology. Heart & vasculature2020

Randomised trials and meta-analyses of double vs triple antithrombotic therapy for atrial fibrillation-ACS/PCI: A critical appraisal.

Mattia Galli, Felicita Andreotti, Domenico D'Amario, Rocco Vergallo, Rocco A Montone, Giampaolo Niccoli, Filippo Crea

Open access · goldAbstract read
In one paragraph

Article in International journal of cardiology. Heart & vasculature, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Managing bleeds on anticoagulant therapy: a practical guide for clinicians.European heart journal. Acute cardiovascular care · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Antiplatelet therapy after percutaneous coronary intervention.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2022
    Article
  9. Review
  10. The virtual patient - Estimating the health utility of aspirin in simulated populations.International journal of cardiology. Heart & vasculature · 2021
    Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Mattia GalliDepartment of Cardiovascular Sciences, Fondazione Policlinico A. Gemelli IRCCS, Rome, Italy.
Felicita AndreottiDepartment of Cardiovascular Sciences, Fondazione Policlinico A. Gemelli IRCCS, Rome, Italy.
Domenico D'AmarioDepartment of Cardiovascular Sciences, Fondazione Policlinico A. Gemelli IRCCS, Rome, Italy.
Rocco VergalloDepartment of Cardiovascular Sciences, Fondazione Policlinico A. Gemelli IRCCS, Rome, Italy.
Rocco A MontoneDepartment of Cardiovascular Sciences, Fondazione Policlinico A. Gemelli IRCCS, Rome, Italy.
Giampaolo NiccoliDepartment of Cardiovascular Sciences, Fondazione Policlinico A. Gemelli IRCCS, Rome, Italy.
Filippo CreaDepartment of Cardiovascular Sciences, Fondazione Policlinico A. Gemelli IRCCS, Rome, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITAgostino Gemelli University Polyclinic · ITUniversità Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

•The optimal antithrombotic regimen to be used in patients with AF and PCI or ACS is still debated.•Each of the six randomised controlled trials comparing double to triple therapy has limitations.•None was powered to assess differences between treatment arms in ischaemic event rates.•The contrasting results regarding ischaemic events within published meta-analyses can be explained by heterogeneity, incompleteness and varying definitions of stent thrombosis.•The overall reduced bleeding rates, but increased early definite and probable stent thrombosis rates with double versus triple antithrombotic therapy encourage consideration of triple therapy during the first weeks from PCI followed by double therapy.

Indexed as

Acute coronary syndromeAnticoagulantAntiplateletAntithromboticAtrial fibrillationDoublePercutaneous coronary interventionTriple

Identifiers

PMID32435688
PMCPMC7229495
OpenAlexW3024781104

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.