11. Antithrombotic therapies

Ticagrelor and aspirin vs aspirin alone after CABG for ACS

TACSI
Objective
to assess whether DAPT with ticagrelor plus aspirin reduces the risk of adverse cardiovascular events compared to aspirin alone in patients after CABG for ACS
Study
open-label, registry-based, randomised controlled trial
Population
patients who underwent isolated CABG within 6 weeks of ACS
Endpoints
composite of death, myocardial infarction, stroke or repeat revascularisation at 1 year; major bleeding
Conclusion
In patients who underwent CABG for ACS, ticagrelor plus aspirin did not result in a lower incidence of death, myocardial infarction, stroke, or repeat coronary revascularisation at 1 year when compared with aspirin alone.
Jeppsson et al. NEJM 2025; Sep 1.
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