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Preoperative clopidogrel and outcomes in patients with acute coronary syndrome undergoing coronary artery bypass surgery

The Journal of Thoracic and Cardiovascular Surgery May 24, 2020

Qu J, Zhang D, Zhang H, et al. - To determine the impact of clopidogrel within 5 days prior to coronary artery bypass grafting (CABG) on outcomes among patients encountering acute coronary syndrome (ACS), researchers undertook this retrospective analysis. Participants were selected from a single center, and included consecutive patients with ACS who had isolated CABG. A composite of death, myocardial infarction, and stroke within 30 days post-surgery was assessed as the primary outcome. CABG-related major bleeding as well as perioperative transfusion constituted secondary outcomes. There were 5,543 patients with ACS in total, of those, 820 (14.8%) continued clopidogrel within 5 days prior to CABG. Findings revealed increased odds of major cardiac and cerebrovascular events as well as bleeding complications in relation to clopidogrel therapy within 5 days before surgery, vs discontinuing clopidogrel for >5 days, in this patient population.

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