Evidence map›Paper›PMID 36176329›Full record

SynthesisJournal of interventional cardiology2022

Dual Antiplatelet Therapy in Patients Aged 75 Years and Older with Coronary Artery Disease: A Meta-Analysis and Systematic Review.

Garly Saint Croix, Spencer C Lacy, Amre Gazzhal, Michel Ibrahim, Medeona Gjergjindreaj, Jorge Perez, Malik Shehadeh, Karthik Vedantam, Christian Torres, Nirat Beohar and 1 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of interventional cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

10 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Potent P2YCritical care (London, England) · 2025
    Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
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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

11 authors at 3 institutions in 1 country.

Garly Saint CroixColumbia University Division of Cardiology at Mount Sinai Medical Center, Miami Beach, Florida, USA.ORCID https://orcid.org/0000-0003-1538-5567
Spencer C LacyLoyola University Medical Center, Maywood, Illinois, USA.
Amre GazzhalColumbia University Division of Cardiology at Mount Sinai Medical Center, Miami Beach, Florida, USA.
Michel IbrahimTemple University Medical Center, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-9624-0698
Medeona GjergjindreajColumbia University Division of Cardiology at Mount Sinai Medical Center, Miami Beach, Florida, USA.
Jorge PerezColumbia University Division of Cardiology at Mount Sinai Medical Center, Miami Beach, Florida, USA.
Malik ShehadehColumbia University Division of Cardiology at Mount Sinai Medical Center, Miami Beach, Florida, USA.ORCID https://orcid.org/0000-0002-7848-7264
Karthik VedantamColumbia University Division of Cardiology at Mount Sinai Medical Center, Miami Beach, Florida, USA.
Christian TorresColumbia University Division of Cardiology at Mount Sinai Medical Center, Miami Beach, Florida, USA.
Nirat BeoharColumbia University Division of Cardiology at Mount Sinai Medical Center, Miami Beach, Florida, USA.
Esteban EscolarColumbia University Division of Cardiology at Mount Sinai Medical Center, Miami Beach, Florida, USA.
Mount Sinai Medical Center · USLoyola University Medical Center · USUniversity Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: This systematic review and meta-analysis evaluates the safety and efficacy of dual antiplatelet therapy (DAPT) in elderly patients with acute coronary syndrome (ACS). Background: The safety and efficacy of DAPT in elderly patients with ACS is not well characterized. Methods: We performed a systematic literature review to identify clinical studies that reported safety and efficacy outcomes after DAPT for ACS in elderly patients. The primary outcomes of primary efficacy endpoint rates and bleeding event rates were reported as random effects risk ratio (RR) with 95% confidence interval. No prior ethical approval was required since all data are public. Results: Our search yielded 660 potential studies. We included 8 studies reporting on 29,217 patients. There was a higher risk of bleeding event rates in elderly patients treated with prasugrel or ticagrelor when compared to clopidogrel with a risk ratio of 1.17 (95% CI 1.08 to 1.27, Conclusions: This systematic review and meta-analysis suggests that DAPT with prasugrel or ticagrelor compared to clopidogrel is associated with a higher risk of bleeding events in elderly patients with ACS. There was no difference in the primary efficacy endpoints between the two treatment groups.

Indexed as

Acute Coronary SyndromeDual Anti-Platelet TherapyPlatelet Aggregation InhibitorsAgedClopidogrelHemorrhageHumansPrasugrel HydrochlorideRisk AssessmentTicagrelorTreatment OutcomeClopidogrelPlatelet Aggregation InhibitorsPrasugrel HydrochlorideTicagrelor

Identifiers

PMID36176329
PMCPMC9499790
OpenAlexW4297052605

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.