Evidence map›Paper›PMID 41334741›Full record

ArticleJournal of the American Heart Association2025

Extending Dual Antiplatelet Therapy Beyond 3 Months in Acute Ischemic Stroke Due to Large-Artery Atherosclerosis.

Minwoo Lee, Mi-Sun Oh, Kyung-Ho Yu, Byung-Chul Lee, Beom Joon Kim, Jun Yup Kim, Jihoon Kang, Do Yeon Kim, Jong-Moo Park, Kyusik Kang and 26 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

36 authors.

Minwoo LeeDepartment of Neurology Hallym University Sacred Heart Hospital Anyang-si Republic of Korea.ORCID 0000-0001-8474-5744
Mi-Sun OhDepartment of Neurology Hallym University Sacred Heart Hospital Anyang-si Republic of Korea.ORCID 0000-0002-6741-0464
Kyung-Ho YuDepartment of Neurology Hallym University Sacred Heart Hospital Anyang-si Republic of Korea.ORCID 0000-0002-8997-5626
Byung-Chul LeeDepartment of Neurology Hallym University Sacred Heart Hospital Anyang-si Republic of Korea.ORCID 0000-0002-3885-981X
Beom Joon KimDepartment of Neurology and Cerebrovascular Center Seoul National University Bundang Hospital Seongnam-si Republic of Korea.ORCID 0000-0002-2719-3012
Jun Yup KimDepartment of Neurology and Cerebrovascular Center Seoul National University Bundang Hospital Seongnam-si Republic of Korea.ORCID 0000-0003-4764-5714
Jihoon KangDepartment of Neurology and Cerebrovascular Center Seoul National University Bundang Hospital Seongnam-si Republic of Korea.ORCID 0000-0001-5715-6610
Do Yeon KimDepartment of Neurology and Cerebrovascular Center Seoul National University Bundang Hospital Seongnam-si Republic of Korea.ORCID 0000-0003-1123-637X
Jong-Moo ParkUijeongbu Eulji Medical Center Eulji University School of Medicine Uijeongbu Republic of Korea.ORCID 0000-0002-4199-3024
Kyusik KangNowon Elji Medical Center Eulji University School of Medicine Seoul Republic of Korea.ORCID 0000-0002-4021-4439
Tai Hwan ParkDepartment of Neurology Seoul Medical Center Seoul Republic of Korea.ORCID 0000-0002-5148-1663
Jeong-Yoon LeeDepartment of Neurology Soonchunhyang University Hospital Seoul Seoul Republic of Korea.ORCID 0000-0002-4297-1791
Kyung Bok LeeDepartment of Neurology Soonchunhyang University Hospital Seoul Seoul Republic of Korea.ORCID 0000-0003-2663-7483
Keun-Sik HongDepartment of Neurology Inje University Ilsan Paik Hospital Goyang-si Republic of Korea.ORCID 0000-0002-4684-6111
Hong-Kyun ParkDepartment of Neurology Inje University Ilsan Paik Hospital Goyang-si Republic of Korea.ORCID 0000-0002-8120-2469
Yong-Jin ChoDepartment of Neurology Inje University Ilsan Paik Hospital Goyang-si Republic of Korea.ORCID 0000-0001-6965-0771
Dong Eog-KimDepartment of Neurology Dongguk University Ilsan Hospital Goyang-si Republic of Korea.ORCID 0000-0002-9339-6539
Soo Joo LeeDepartment of Neurology Eulji University Hospital Daejeon Republic of Korea.ORCID 0000-0001-8622-7000
Jae Guk KimDepartment of Neurology Eulji University Hospital Daejeon Republic of Korea.ORCID 0000-0003-1418-0033
Jun LeeDepartment of Neurology Yeungnam University Medical Center Daegu Republic of Korea.ORCID 0000-0001-8643-0797
Jae-Kwan ChaDepartment of Neurology Dong-A University Hospital Busan Republic of Korea.ORCID 0000-0002-1049-5196
Dae-Hyun KimDepartment of Neurology Dong-A University Hospital Busan Republic of Korea.ORCID 0000-0001-9761-7792
Joon-Tae KimDepartment of Neurology Chonnam National University Hospital Gwangju Republic of Korea.ORCID 0000-0003-4028-8339
Kang-Ho ChoiDepartment of Neurology Chonnam National University Hospital Gwangju Republic of Korea.ORCID 0000-0001-8851-2104
Jay Chol ChoiDepartment of Neurology Jeju National University Hospital Jeju Republic of Korea.ORCID 0000-0002-3550-2196
Sung-Il SohnDepartment of Neurology Keimyung University Dongsan Hospital Daegu Republic of Korea.ORCID 0000-0002-6900-1242
Jeong-Ho HongDepartment of Neurology Keimyung University Dongsan Hospital Daegu Republic of Korea.ORCID 0000-0002-8235-9855
Sang-Hwa LeeDepartment of Neurology Chuncheon Sacred Heart Hospital Chuncheon Republic of Korea.
Chulho KimDepartment of Neurology Chuncheon Sacred Heart Hospital Chuncheon Republic of Korea.ORCID 0000-0001-8762-8340
Dong-Ick ShinDepartment of Neurology Chungbuk National University Hospital Cheongju Republic of Korea.ORCID 0000-0001-5770-0268
Kyu Sun YumDepartment of Neurology Chungbuk National University Hospital Cheongju Republic of Korea.ORCID 0000-0001-9815-7652
Juneyoung LeeDepartment of Biostatistics Korea University College of Medicine Seoul Republic of Korea.ORCID 0000-0001-8073-9304
Ji Sung LeeClinical Research Center, Asan Institute for Life Sciences, Asan Medical Center University of Ulsan College of Medicine Seoul Korea.ORCID 0000-0001-8194-3462
Philip B GorelickDavee Department of Neurology Northwestern University Feinberg School of Medicine Chicago IL USA.ORCID 0000-0002-1181-614X
Hee-Joon BaeDepartment of Neurology and Cerebrovascular Center Seoul National University Bundang Hospital Seongnam-si Republic of Korea.ORCID 0000-0003-0051-1997
CRCS‐K Investigators *

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe optimal duration of dual antiplatelet therapy (DAPT) with aspirin plus clopidogrel following acute ischemic stroke due to large-artery atherosclerosis remains uncertain.

methodsWe retrospectively analyzed data from a prospective, multicenter stroke registry (2011-2018) linked to a national health insurance claims database. Patients included had acute ischemic stroke attributable to large-artery atherosclerosis, initiated DAPT within 48 hours of admission and remained free of primary outcome events during the first 30 days. Temporal trends in DAPT usage were evaluated, and landmark analyses assessed the impact of DAPT continuation for up to 6 months after stroke on clinical outcomes. The primary outcome was a composite of recurrent stroke, myocardial infarction, major bleeding, and all-cause death within 1.5 years post-stroke.

resultsA total of 4814 patients (mean age, 68.1±11.8 years; 64.1% men) were analyzed. The median duration of DAPT significantly increased from 36 days in 2011 to 122 days in 2018 (

conclusionsIn patients with acute ischemic stroke due to large-artery atherosclerosis, DAPT duration has lengthened over time and continuation beyond 3 months appears to confer net clinical benefits, without increasing the risk of major bleeding.

Indexed as

AspirinAtherosclerosisClopidogrelDual Anti-Platelet TherapyIntracranial ArteriosclerosisIschemic StrokePlatelet Aggregation InhibitorsAgedAged, 80 and overDrug Therapy, CombinationFemaleHemorrhageHumansMaleMiddle AgedRecurrenceAspirinClopidogrelPlatelet Aggregation Inhibitorsantiplatelet agentsdeathdual antiplatelet therapyischemic strokelarge‐artery atherosclerosisstroke recurrence

Identifiers

PMID41334741
PMCPMC12826892

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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.