Evidence map›Paper›PMID 40895841›Full record

ReviewClinical Medicine Insights. Cardiology2025

Controversies in Antithrombotic Therapy for Patients With Coronary Artery Disease and Atrial Fibrillation Undergoing Percutaneous Coronary Intervention: A Literature Review.

Omar Almur, Baraa Emran, Fathi Milhem, Qutayba Z Ayaseh, Abdelfattah M Dahmas, Maram M Abukhalil, Sakeena Saife, Mohammad Bdair, Ayesha Younas, Haroun Neiroukh and 8 more

Abstract readReview
In one paragraph

Review in Clinical Medicine Insights. Cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

18 authors.

Omar AlmurDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Baraa EmranDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Fathi MilhemDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Qutayba Z AyasehDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Abdelfattah M DahmasDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Maram M AbukhalilDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Sakeena SaifeDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Mohammad BdairDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.ORCID https://orcid.org/0000-0002-8968-7034
Ayesha YounasAllama Iqbal Medical College, Lahore, Pakistan.
Haroun NeiroukhDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Anas OdehDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Sarah SaifeDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Orabi HajjehDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Ahmad MohammadDepartment of Internal Medicine, Hurley Medical Center, Flint, MI, USA.
Karol B HaddadDepartment of Medicine, Faculty of Medicine and Health Sciences, Arab American University, Jenin, Palestine.
Anas I M Abu ZahraDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Saleh HamzaDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Abdalhakim ShubietahDepartment of Internal Medicine, Advocate Illinois Masonic Medical Center, Chicago, IL, USA.ORCID https://orcid.org/0000-0002-8300-0262

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CAD and AF are 2 of the major cardiovascular challenges worldwide, often coexisting and complicating management strategies. PCI has revolutionized the treatment of CAD, reducing mortality and improving recovery. At the same time, AF increases the risk of stroke, thus requiring anticoagulation. The combination of antiplatelet and anticoagulant therapies in patients undergoing PCI is challenging because of increased bleeding risks. This literature review explores the controversies surrounding dual antithrombotic therapy (DAT) and triple antithrombotic therapy (TAT), evaluating their efficacy and safety in mitigating thrombotic and hemorrhagic risks. Key clinical trials and guidelines advocate the use of DAT, especially in patients at high bleeding risk, underlining its role in reducing complications without compromising ischemic protection. Furthermore, advances in stent technologies, personalized medicine tools, and pharmacogenomics have further refined treatment strategies toward tailored approaches. Despite these developments, the optimal duration of therapy remains debated, as do patient selection and the need to balance ischemic and bleeding risks, particularly in complex patients.This review underscores the need for an individualized, evidence-based approach to optimize outcomes and inform future guidelines in managing this high-risk population. Emerging therapies and real-world evidence-such as trials investigating Factor XI inhibitors and bioresorbable scaffolds-are promising, aiming to reduce bleeding risk and improve long-term outcomes in patients with CAD and AF. Additionally, newer DOACs are being evaluated for improved efficacy and safety profiles.

Indexed as

antithrombotic therapyatrial fibrillation (AF)bleeding and stroke riskscoronary artery disease (CAD)dual and triple therapy (DAT & TAT)emerging therapiespercutaneous coronary intervention (PCI)personalized medicinerisk stratification (CHA2DS2-VASc & HAS-BLED)stent thrombosis

Identifiers

PMID40895841
PMCPMC12398656

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.