Evidence map›Paper›PMID 33275740›Full record

ArticleHematology. American Society of Hematology. Education Program2020

Combining antiplatelet and anticoagulant therapy in cardiovascular disease.

Geoffrey D Barnes

Open access · bronzeAbstract read
In one paragraph

Article in Hematology. American Society of Hematology. Education Program, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 6% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Integrated care management for patients following acute stroke: a systematic review.QJM : monthly journal of the Association of Physicians · 2025
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Short Versus Extended Duration of Triple Antithrombotic Therapy After Percutaneous Coronary Intervention in Patients Requiring Oral Anticoagulation: A Retrospective Single-Center Study.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    Observational
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  12. Article
  13. Apixaban and clopidogrel in a fixed-dose combination: Formulation and in vitro evaluation.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2024
    Article
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  20. Coming soon to a pharmacy near you? FXI and FXII inhibitors to prevent or treat thromboembolism.Hematology. American Society of Hematology. Education Program · 2022
    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

1 author at 1 institution in 1 country.

Geoffrey D BarnesFrankel Cardiovascular Center, University of Michigan, Ann Arbor, MI.
University of Michigan–Ann Arbor · US

Funding

Improving Safe Use of Direct Oral Anticoagulants: A Population Health ApproachR18HS026874 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BARNES, GEOFFREY DOUGLAS · 2020 to 2022
$1.5M
A user-center designed anticoagulation shared decision-making tool for stroke prevention in atrial fibrillationR21HS026322 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DORSCH, MICHAEL · 2019 to 2020
$296k
AHRQ HHS R18 HS026874AHRQ HHS R21 HS026322
6 · The paper itself

Abstract

Up to 10% of the >3 million Americans with atrial fibrillation will experience an acute coronary syndrome or undergo percutaneous coronary intervention. Therefore, concurrent indications for multiple antithrombotic agents is a common clinical scenario. Although each helps reduce thrombotic risk, their combined use significantly increases the risk of major bleeding events, which can be life threatening. In the past 5 years, a number of randomized clinical trials have explored different combinations of anticoagulation plus antiplatelet agents aimed at minimizing bleeding risk while preserving low thrombotic event rates. In general, shorter courses with fewer antithrombotic agents have been found to be effective, particularly when direct oral anticoagulants are combined with clopidogrel. Combined use of very low-dose rivaroxaban plus aspirin has also demonstrated benefit in atherosclerotic diseases, including coronary and peripheral artery disease. Use of proton pump inhibitor therapy while patients are taking multiple antithrombotic agents has the potential to further reduce upper gastrointestinal bleeding risk in select populations. Applying this evidence to patients with multiple thrombotic conditions will help to avoid costly and life-threatening adverse medication events.

Indexed as

Cardiovascular DiseasesAgedAnticoagulantsAspirinGastrointestinal HemorrhageHumansMalePlatelet Aggregation InhibitorsProton Pump InhibitorsRandomized Controlled Trials as TopicRivaroxabanAnticoagulantsAspirinPlatelet Aggregation InhibitorsProton Pump InhibitorsRivaroxaban

Identifiers

PMID33275740
PMCPMC7727581
OpenAlexW3108209273

What OpenQuestion holds

Textmetadata
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.