Trends in cardiovascular and bleeding outcomes in acute coronary syndrome patients treated with or without proton-pump inhibitors during the introduction of novel P2Y12 inhibitors: a five-year experience from a single-centre observational registry

Trends in cardiovascular and bleeding outcomes in acute coronary syndrome patients treated with or without proton-pump inhibitors during the introduction of novel P2Y12 inhibitors: a five-year experience from a single-centre observational registry
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DOI:
10.1093/ehjcvp/pvy030
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发表时间:
2019-07-01
影响因子:
7.1
通讯作者:
van't Hof, Arnoud W. J.
van't Hof, Arnoud W. J.
中科院分区:
医学1区
文献类型:
--
作者:
Hoedemaker, Niels P. G.;Damman, Peter;van't Hof, Arnoud W. J.

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Aims Proton-pump inhibitors (PPIs) are commonly prescribed in acute coronary syndrome (ACS) patients on antiplatelet therapy. We studied PPI prescription in ACS patients in the era of novel P2Y12 inhibitors and assessed the association between PPI use and clinical outcomes.Methods and results Between 2010 and 2014, we included all consecutive ACS patients admitted to a Dutch tertiary hospital. The main outcome was PPI prescription at discharge. Additionally, we present 1-year mortality and 30-day cardiovascular and bleeding outcomes. Of 4595 ACS patients with known discharge medication, 63.9% received a PPI. PPI-treated patients were older (67.112.5 vs. 63.0 +/- 13.3, P