Reducing Microvascular Dysfunction in Revascularized Patients with ST-Elevation Myocardial Infarction by Off-Target Properties of Ticagrelor versus Prasugrel. Rationale and Design of the REDUCE-MVI Study.

Abstract:

:Microvascular injury is present in a large proportion of patients with ST-elevation myocardial infarction (STEMI) despite successful revascularization. Ticagrelor potentially mitigates this process by exerting additional adenosine-mediated effects. This study aims to determine whether ticagrelor is associated with a better microvascular function compared to prasugrel as maintenance therapy after STEMI. A total of 110 patients presenting with STEMI and additional intermediate stenosis in another coronary artery will be studied after successful percutaneous coronary intervention (PCI) of the infarct-related artery. Patients will be randomized to treatment with ticagrelor or prasugrel for 1 year. FFR-guided PCI of the non-infarct-related artery will be performed at 1 month. Microvascular function will be assessed by measurement of the index of microcirculatory resistance (IMR) in the infarct-related artery and non-infarct-related artery, immediately after primary PCI and after 1 month. The REDUCE-MVI study will establish whether ticagrelor as a maintenance therapy may improve microvascular function in patients after revascularized STEMI.

authors

Janssens GN,van Leeuwen MAH,van der Hoeven NW,de Waard GA,Nijveldt R,Diletti R,Zijlstra F,von Birgelen C,Escaned J,Valgimigli M,van Royen N

doi

10.1007/s12265-016-9691-3

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

249-256

issue

3

eissn

1937-5387

issn

1937-5395

pii

10.1007/s12265-016-9691-3

journal_volume

9

pub_type

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