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๐ŸŽฏ Early Aspirin Withdrawal After PCI in ACS is Risky?

๐ŸŽฏ Early Aspirin Withdrawal After PCI in ACS is Risky?

Dr RR Baliga's "Got Knowledge Doc" Podkast

October 29, 20254m 55s

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Show Notes

๐Ÿงช NEO-MINDSET Trial ๐Ÿ‡ง๐Ÿ‡ท published in NEJM asks: Can we safely drop aspirin early after PCI in acute coronary syndromes (ACS)?

๐Ÿ’Š Monotherapy with ticagrelor/prasugrel reduced bleeding ๐Ÿฉธ but increased early ischemic events ๐Ÿ’ฅ vs dual antiplatelet therapy (DAPT).

โ— Noninferiority for major adverse cardiovascular events was not met.

๐Ÿ” DAPT still stands tall in early post-PCI ACS care.

Kudos to the Brazilian team for a landmark RCT!

๐Ÿ“– NEJM 2025 | doi: 10.1056/NEJMoa2507980

#NEOMINDSET #PCI #ACS #cardiotwitter #RCT #DAPT #P2Y12 #Bleeding #NEJM #PrecisionMedicine #InterventionalCardiology