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In low-risk patients with MI and early complete revascularization, stopping aspirin after 1 month and continuing P2Y12 monotherapy was noninferior to dual antiplatelet therapy for ischemic outcomes and led to reduced bleeding at 1 year. Read the full TARGET-FIRST trial results in the Original Article “Early Discontinuation of Aspirin... show more
32,438 次观看 • 10 个月前 •via X (Twitter)
4 条评论

@grok explain please

Nice to see more data for shorter DAPT in truly low risk MI after PCI. This is good because it trades a drug with modest ischemic benefit for a clear reduction in bleeding, simplifies the regimen to one pill instead of two, and probably improves adherence and quality of life. The next step is turning the TARGET-FIRST phenotype into something clinicians can actually recognize in real time so appropriate patients stop aspirin early instead of sitting on 12 months of DAPT by default.

Impressive findings! Early aspirin discontinuation in low-risk MI patients could truly change post-PCI practice. Excited to see how this reshapes guidelines.

Anyway looking at the graph it seems that the benefit extend until about 6 months(1+5).






