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  • Extended Clopidogrel Monotherapy vs DAPT in Patients With Acute Coronary Syndromes at High Ischemic and Bleeding Risk: The OPT-BIRISK Randomized Clinical Trial

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    JAMA Cardiol. 2024; 10.1001/jamacardio.2024.0534

    This randomized clinical trial evaluates clopidogrel monotherapy vs dual antiplatelet therapy in patients with acute coronary syndromes undergoing percutaneous coronary interventions who are at high bleeding and ischemic risk.

  • Progression of Gastrointestinal Injury During Antiplatelet Therapy After Percutaneous Coronary Intervention: A Secondary Analysis of the OPT-PEACE Randomized Clinical Trial

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    ÁñÁ«ÊÓƵ Netw Open. 2023; 6(11):e2343219. 10.1001/jamanetworkopen.2023.43219

    This secondary analysis of a randomized clinical trial assesses the association of aspirin, clopidogrel, and their combination with gastrointestinal injury progression among patients in China without high bleeding risk after percutaneous coronary intervention.

  • Deferred Testing in Stable Outpatients With Suspected Coronary Artery Disease: A Prespecified Secondary Analysis of the PRECISE Randomized Clinical Trial

    Abstract Full Text
    JAMA Cardiol. 2023; 8(10):915-924. 10.1001/jamacardio.2023.2614

    This study assesses process of care and health outcomes in people identified as minimal risk for coronary artery disease when testing is deferred.

  • Comparison of an Initial Risk-Based Testing Strategy vs Usual Testing in Stable Symptomatic Patients With Suspected Coronary Artery Disease: The PRECISE Randomized Clinical Trial

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    JAMA Cardiol. 2023; 8(10):904-914. 10.1001/jamacardio.2023.2595

    This randomized clinical trial investigates the optimal initial evaluation pathway to reduce unnecessary testing referral for patients with suspected coronary artery disease who are symptomatic but in stable condition.

  • Percutaneous Coronary Intervention vs Coronary Artery Bypass Graft Surgery for Left Main Disease in Patients With and Without Acute Coronary Syndromes: A Pooled Analysis of 4 Randomized Clinical Trials

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    JAMA Cardiol. 2023; 8(7):631-639. 10.1001/jamacardio.2023.1177

    This pooled analysis includes data from 4 major randomized clinical trials that compare PCI with drug-eluting stents vs CABG to assess differences in outcomes for patients with left main coronary artery disease with and without acute coronary syndrome.

  • Clinical and Quality-of-Life Outcomes Following Invasive vs Conservative Treatment of Patients With Chronic Coronary Disease Across the Spectrum of Kidney Function

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    JAMA Cardiol. 2022; 7(8):825-835. 10.1001/jamacardio.2022.1763

    This secondary analysis of a randomized clinical trial evaluates clinical and quality-of-life outcomes following invasive and conservative management of chronic kidney disease.

  • Association of Effective Regurgitation Orifice Area to Left Ventricular End-Diastolic Volume Ratio With Transcatheter Mitral Valve Repair Outcomes: A Secondary Analysis of the COAPT Trial

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    JAMA Cardiol. 2021; 6(4):427-436. 10.1001/jamacardio.2020.7200

    This secondary analysis of the COAPT randomized clinical trial explores the contributions of the degree of secondary mitral regurgitation using the effective regurgitation orifice area, regurgitant volume, and left ventricular end-diastolic volume index to the benefit of transcatheter mitral valve repair.

  • Prevalence of Multiplicity and Appropriate Adjustments Among Cardiovascular Randomized Clinical Trials Published in Major Medical Journals

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    ÁñÁ«ÊÓƵ Netw Open. 2020; 3(4):e203082. 10.1001/jamanetworkopen.2020.3082

    This cross-sectional study assesses the prevalence of multiplicity and whether appropriate multiplicity adjustments were performed among cardiovascular randomized clinical trials published in 6 medical journals with a high impact factor.

  • Time-Varying Outcomes With the Absorb Bioresorbable Vascular Scaffold During 5-Year Follow-up: A Systematic Meta-analysis and Individual Patient Data Pooled Study

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    JAMA Cardiol. 2019; 4(12):1261-1269. 10.1001/jamacardio.2019.4101

    This individual patient data pooled analysis and meta-analysis examines the outcomes of first-generation bioresorbable vascular scaffolds in patients with coronary artery disease before and after 3 years.

  • Association of Coronary Anatomical Complexity With Clinical Outcomes After Percutaneous or Surgical Revascularization in the Veterans Affairs Clinical Assessment Reporting and Tracking Program

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    JAMA Cardiol. 2019; 4(8):727-735. 10.1001/jamacardio.2019.1923

    This cross-sectional multiple-center study adapts an anatomical scoring system for use with registry data, allowing facile and automatic calculation of scores and association with clinical outcomes among patients undergoing percutaneous or surgical revascularization.

  • Outcomes of Percutaneous Coronary Intervention and Coronary Artery Bypass Graft Surgery for Multivessel Coronary Artery Disease: Toward Patient-Centric Decision Making

    Abstract Full Text
    JAMA Cardiol. 2019; 4(6):507-508. 10.1001/jamacardio.2019.1073

    This Viewpoint discusses the relative outcomes of percutaneous coronary intervention and coronary artery bypass grafting, specifically with regards to patient-centered decision making.

  • Baseline Characteristics and Risk Profiles of Participants in the ISCHEMIA Randomized Clinical Trial

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    JAMA Cardiol. 2019; 4(3):273-286. 10.1001/jamacardio.2019.0014

    This analysis of data from the International Study of Comparative Health Effectiveness With Medical and Invasive Approaches trial (ISCHEMIA) tdescribes baseline characteristics of participants enrolled and randomized in the trial and evaluates whether qualification by stress imaging or nonimaging exercise tolerance test influenced risk profiles.

  • Long-term Safety and Efficacy of New-Generation Drug-Eluting Stents in Women With Acute Myocardial Infarction: From the Women in Innovation and Drug-Eluting Stents (WIN-DES) Collaboration

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    JAMA Cardiol. 2017; 2(8):855-862. 10.1001/jamacardio.2017.1978

    This pooled-analysis investigates the long-term safety and efficacy of new-generation drug-eluting stents vs early-generation drug-eluting stents in women with acute myocardial infarction.

  • Effect of Short Procedural Duration With Bivalirudin on Increased Risk of Acute Stent Thrombosis in Patients With STEMI: A Secondary Analysis of the HORIZONS-AMI Randomized Clinical Trial

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    JAMA Cardiol. 2017; 2(6):673-677. 10.1001/jamacardio.2016.5669

    This secondary analysis of a randomized clinical trial assesses whether a link exists between the length of procedure time and acute stent thrombosis in patients treated with bivalirudin vs heparin plus glycoprotein IIb/IIIa inhibitor.

  • Evaluation of Ischemic and Bleeding Risks Associated With 2 Parenteral Antiplatelet Strategies Comparing Cangrelor With Glycoprotein IIb/IIIa Inhibitors: An Exploratory Analysis From the CHAMPION Trials

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    JAMA Cardiol. 2017; 2(2):127-135. 10.1001/jamacardio.2016.4556

    This exploratory analysis of the 3 CHAMPION trials evaluates the use of cangrelor with glycoprotein IIb/IIIa inhibitors compared with cangrelor alone in patients undergoing percutaneous coronary intervention.

  • Association of Coronary Stenosis and Plaque Morphology With Fractional Flow Reserve and Outcomes

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    JAMA Cardiol. 2016; 1(3):350-357. 10.1001/jamacardio.2016.0263

    This narrative review examines the associations of coronary artery stenosis, plaque morphology, and fractional flow reserve and the prognostic value of fractional flow reserve.

  • Varying Responses to Antithrombotic Treatment by Race/Ethnicity—Reply

    Abstract Full Text
    JAMA. 2015; 314(6):625-625. 10.1001/jama.2015.7384
  • Bivalirudin vs Heparin With or Without Tirofiban During Primary Percutaneous Coronary Intervention in Acute Myocardial Infarction: The BRIGHT Randomized Clinical Trial

    Abstract Full Text
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    JAMA. 2015; 313(13):1336-1346. 10.1001/jama.2015.2323

    This randomized superiority trial in China found that among patients undergoing PCI, bivalirudin was associated with reduced adverse effects compared with heparin alone and heparin plus tirofiban.

  • Abciximab vs Thrombectomy for Reperfusion in Myocardial Infarction—Reply

    Abstract Full Text
    JAMA. 2012; 308(6):565-567. 10.1001/jama.2012.8167
  • Intracoronary Abciximab and Aspiration Thrombectomy in Patients With Large Anterior Myocardial Infarction: The INFUSE-AMI Randomized Trial

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    JAMA. 2012; 307(17):1817-1826. 10.1001/jama.2012.421
    Stone and coauthors investigated whether bolus intracoronary abciximab and manual aspiration thrombectomy reduce infarct size or improve clinical outcomes after primary percutaneous coronary intervention in patients with large anterior ST-segment elevation myocardial infarction.