Acute Coronary Syndrome Clinical Trial
Official title:
The Effects of Crushed Ticagrelor Versus Eptifibatide Bolus +Clopidogrel in Troponin-Negative ACS Patients Undergoing Coronary Intervention
Patients with troponin-negative acute coronary syndrome (ACS) are not routinely pre-treated with P2Y12 inhibitors and the rate of high on-treatment platelet reactivity (HPR) remains elevated after a loading dose of ticagrelor at the time of percutaneous coronary intervention (PCI). This suggests that faster platelet inhibition with crushed ticagrelor , eptifibatide , or cangrelor is needed to reduce HPR and periprocedural myocardial infarction and injury (PMI). The present study compared the effects of crushed ticagrelor vs. eptifibatide bolus + clopidogrel in troponin-negative ACS patients undergoing PCI.
Platelet activation and accumulation causes the formation of blood clots that may cause heart
attack. As a standard of care, the doctor can prescribe medications such as are ticagrelor,
eptifibatide, clopidogrel, to prevent the formation of blood clots.
100 patients with unstable angina, both male and female, will be randomized to either Group
A- Crushed Ticagrelor or Group B- Eptifibatide bolus +Clopidogrel administrated immediately
before PCI. Platelet function testing, troponin, and ECG will be performed.
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