Evidence map›Paper›PMID 34410542›Full record

ReviewCurrent cardiology reports2021

A Clinical Update on Antiplatelet Therapy in Secondary Prevention of Ischemic Stroke.

Katelyn Marsden, Hannah Y Mak, C Patrick Crooks, Preethy Pankaj, Thuhien Nguyen, David Tirschwell

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current cardiology reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
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

6 authors at 1 institution in 1 country.

Katelyn MarsdenDepartment of Neurology, University of Washington, Seattle, SA, USA. krlm@uw.edu.
Hannah Y MakDepartment of Pharmacy, University of Washington, Seattle, SA, USA.
C Patrick CrooksDepartment of Neurology, University of Washington, Seattle, SA, USA.
Preethy PankajDepartment of Neurology, University of Washington, Seattle, SA, USA.
Thuhien NguyenDepartment of Neurology, University of Washington, Seattle, SA, USA.
David TirschwellDepartment of Neurology, University of Washington, Seattle, SA, USA.
University of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewAntiplatelet therapy remains the standard of care in secondary stroke prevention for non-cardioembolic ischemic stroke and transient ischemic attack. We aim to examine the use of antiplatelet agents in secondary prevention through highlighting relevant clinical trials and meta-analyses as well as providing commentary regarding our practice. RECENT

findingsIn the POINT and CHANCE trials, dual antiplatelet therapy reduced recurrent stroke compared to aspirin monotherapy. Sub-analyses of these trials suggest that genetic polymorphisms could play a role in diminishing the effectiveness of clopidogrel. Similarly, THALES demonstrated better outcomes with ticagrelor-aspirin combination therapy over aspirin monotherapy. Combination antiplatelet therapy with aspirin and the P2Y12 inhibitors, clopidogrel and ticagrelor, reduced stroke recurrence in those presenting with mild ischemic stroke or high risk TIA. Genetic polymorphisms may play a role in determining the appropriate regimen. Questions remain regarding the optimal duration of combination antiplatelet therapy for various stroke etiologies.

Indexed as

Brain IschemiaIschemic Attack, TransientIschemic StrokeStrokeDrug Therapy, CombinationHumansPlatelet Aggregation InhibitorsSecondary PreventionPlatelet Aggregation InhibitorsAntiplatelet therapyAspirinClopidogrelIschemic strokeSecondary prevention

Identifiers

PMID34410542
OpenAlexW3194397706

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.