Abstract:
AIMS:Patients with diabetes are at excessive risk of mortality and cardiovascular morbidity. Previous studies suggest that aspirin may be less effective in diabetic patients. In this multi-centre, randomized, double blind trial picotamide, a dual inhibitor of thromboxane A2 synthase and receptor, was compared with aspirin for the prevention of mortality and major cardiovascular events in diabetics with peripheral arterial disease (PAD). METHODS AND RESULTS:A total of 1209 adults aged 40-75 years with type 2 diabetes and PAD were randomized to receive picotamide (600 mg bid) or aspirin (320 mg od) for 24 months. The cumulative incidence of the 2 years overall mortality was significantly lower amongst patients who received picotamide (3.0%) than in those who received aspirin (5.5%) with a relative risk ratio for picotamide versus aspirin of 0.55 (95% CI: 0.31-0.98%). Events were reported in 43 patients (7.1%) on picotamide and 53 (8.7%) on aspirin. The combined endpoint of mortality and morbidity had a slightly lower incidence in the picotamide group but this difference did not reach statistical significance. CONCLUSION:Picotamide is significantly more effective than aspirin in reducing overall mortality in type 2 diabetic patients with associated PAD.
journal_name
Eur Heart Jjournal_title
European heart journalauthors
Neri Serneri GG,Coccheri S,Marubini E,Violi F,Drug Evaluation in Atherosclerotic Vascular Disease in Diabetics (DAVID) Study Group.doi
10.1016/j.ehj.2004.07.013subject
Has Abstractpub_date
2004-10-01 00:00:00pages
1845-52issue
20eissn
0195-668Xissn
1522-9645pii
S0195-668X(04)00473-7journal_volume
25pub_type
临床试验,杂志文章,多中心研究,随机对照试验abstract::Contraceptive counselling should begin early in females with heart disease, preferably directly after the start of menstruation. In coming to a decision about the method of contraception, the following issues should be considered: (i) the risk of pregnancy for the mother and the consequences of an unplanned pregnancy;...
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