Brilinta is a platelet inhibitor
What is P2Y12?
Three categories of ACS
What are STEMI, NSTEMI, and UAP?
Fifth leading cause of death and leading cause of disability
What is stroke?
Heart disease equivalent
What is diabetes mellitus?
Karen Jenkins maiden name
What is Jolly?
Brilinta has a loading dose
What is 180 mg?
Three treatment strategies for ACS
What are OMT, PCI, and CABG?
Stroke identification
What is FAST?
Facial droop, Arm weakness, Speech difficulty, and Time to call EMS
Test result neutralizes heart disease equivalence of diabetes
What is CAC score of ZERO?
Karen Jenkins favorite provider
Who is Don Chomsky?
Brilinta achieves steady state platelet inhibition following a loading dose
What is 2 hours?
Standard anti platelet regimen following PCI
What is DAPT?
3 endovascular devices for stroke prevention
What are carotid stents, LAA occluders, and PFO occluders?
Cardiovascular event reduction in diabetics
What are SGLT-2 inhibitors?
Brilinta mono therapy
What is TWILIGHT (NEJM 2019)?
Ticagrelor with or without Aspirin in High-Risk Patients after PCI
44% reduction in bleeding with no difference in ischemic events
Brilinta achieves a percentage of platelet inhibition
What is 80%
Anti platelet regimen that reduces cardiovascular mortality following ACS
What is Brilinta and low dose aspirin?
Study evaluated DAPT vs aspirin for CVA
What is Thales (NEJM 2020)?
A 20% reduction in stroke and death with Brilinta and aspirin compared to aspirin mono therapy.
Study evaluated diabetic patients at risk
What is Themis: Ticagrelor in Patients with Stable Coronary Disease and Diabetes (NEJM 2019)?
10% reduction in cardiovascular events
Cost of Brilinta
Free
Hold Brilinta prior to a major surgery
What is 5-7 days?
Long term dose of Brilinta was evaluated
What is Pegasus TIMI-54 (NEJM 2015)?
Long-Term Use of Ticagrelor in Patients with Prior Myocardial Infarction: 60 mg twice daily in combination with low dose aspirin reduced subsequent events by 16%
Brilinta better than clopidogrel for CVA for subgroups
CHANCE-2 (NEJM 2021): Ticagrelor versus Clopidogrel in CYP2C19 Loss-of-Function Carriers with Stroke or TIA
23% reduction of recurrent stroke
Diabetic bleeding complications
What was bleeding in Themis?
More bleeding with Brilinta but fatal bleeds were comparable.
Brilinta trials have enrolled a number of patients
What is > 110k patients?