Coronary disease & ACSSecondary analysis

Dyspnea-Related Ticagrelor Discontinuation After Percutaneous Coronary Intervention

JACC Cardiovasc IntervPublished

  • Secondary analysis of the TWILIGHT randomised trial
  • landmark analysis at 3 months

Authors' conclusion

In the TWILIGHT trial, dyspnea-related ticagrelor discontinuation occurred in almost 1 in 10 patients and tended to occur earlier rather than late after PCI.

Study context

Population
Patients after percutaneous coronary intervention (PCI) in the TWILIGHT trial
Comparison
Ticagrelor monotherapy vs ticagrelor plus aspirin
Primary endpoint
Incidence, predictors and outcomes of dyspnea-related ticagrelor discontinuation

Primary result

As reported in the abstract

Dyspnea-related ticagrelor discontinuation (incidence)

Incidence at 3 months after PCI

6.4%

Incidence at 15 months after PCI

9.1%

Further findings

Subsequent ischemic events (all-cause death, MI or stroke) among those discontinuing for dyspnea after randomization

P = 0.566

  • Subsequent ischemic events (all-cause death, MI or stroke) among those discontinuing for dyspnea after randomization: n = 179 discontinued for dyspnea after randomization

Original publication

Dyspnea-Related Ticagrelor Discontinuation After Percutaneous Coronary Intervention. JACC Cardiovasc Interv. Published 23 October 2023. doi:10.1016/j.jcin.2023.08.019

Summarised from the published abstract; every number is checked against it