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. 2023 Nov 29;15(11):e49631.
doi: 10.7759/cureus.49631. eCollection 2023 Nov.

The Efficacy and Safety of Antiplatelet Therapy in Patients With Acute Coronary Syndrome: A Scoping Review

Tanusha Winson  1 , Prithvi Basu Roy  2 , Vitrag N Tejani  3   4 , Sukhmeet S Dhillon  5 , Nanush Damarlapally  6 , Nia Uswanti Binti Usman  7 , Binay K Panjiyar  8   9
Affiliations

The Efficacy and Safety of Antiplatelet Therapy in Patients With Acute Coronary Syndrome: A Scoping Review

Tanusha Winson et al. Cureus. .

Abstract

Cardiovascular disease, predominantly acute coronary syndrome (ACS), is the leading cause of death for both men and women. For decades, this has been a global healthcare challenge. The main reason for thrombus formation in the coronary arteries is platelet accumulation as part of an inflammatory reaction. The efforts to combat this process of platelet aggregation have led researchers to discover antiplatelet drugs, which have been a keystone in treating cardiovascular diseases related to arterial thrombus formation. Antiplatelet drugs inhibit various platelet responses and help mitigate atherothrombosis, thereby playing a major role in both primary and secondary prevention of ACS. This study employs a scoping review approach to recapitulate the data in the existing literature regarding the efficacy and safety of antiplatelet therapy in patients with ACS. By searching a total of 14,882 journals that were published between 2013 and July 26, 2023, 10 papers were selected for in-depth analysis. We conducted this literature search by using PubMed and Google Scholar databases and adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and the corresponding PRISMA Extension for Scoping Reviews in performing this review. The review findings revealed that the current approach of using antiplatelet agents in ACS is safe and efficient, provided that bleeding risk assessment is conducted and any prior contraindications are recognized before administering the drugs. Ethical approval was not required for this review as it involved secondary data collection from published journals. The findings of this scoping review will be published in peer-reviewed journals and presented at conferences.

Keywords: acs ( acute coronary syndrome ); antiplatelet drugs; antiplatelet therapy; dual-antiplatelet therapy (dapt); efficacy and safety; heart attack.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. PRISMA flow diagram illustrating the search strategy and study selection process
PRISMA: Preferred Reporting Items for Systematic Reviews and Meta-Analyses; ACS: acute coronary syndrome
See this image and copyright information in PMC

References

    1. Global perspective on acute coronary syndrome: a burden on the young and poor. Vedanthan R, Seligman B, Fuster V. Circ Res. 2014;114:1959–1975. - PMC - PubMed
    1. Cardiovascular disease epidemiology in Asia: an overview. Ohira T, Iso H. Circ J. 2013;77:1646–1652. - PubMed
    1. Inflammation, atherosclerosis, and coronary artery disease. Hansson GK. N Engl J Med. 2005;352:1685–1695. - PubMed
    1. Update on acute coronary syndromes: the pathologists' view. Falk E, Nakano M, Bentzon JF, Finn AV, Virmani R. Eur Heart J. 2013;34:719–728. - PubMed
    1. Mechanisms of acute coronary syndromes and their implications for therapy. Libby P. N Engl J Med. 2013;368:2004–2013. - PubMed

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