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Diagnostic ECG
ACS (STEMI or UA/NSTEMI) & Planned PCI
n=13,608
Double-blind
CLOPIDOGREL PRASUGREL
300 mg LD/ 75 60 mg LD/ 10
mg MD
Angiography / PCI mg MD
- Tn + Tn + Tn
• Outcomes
Composite of death or MI at 30 days
Fold elevation in cardiac biomarkers
• As a surrogate for infarct size
13,608 patients
enrolled in
TRITON-TIMI 38
1,198 patients
with isolated
anterior depressions
“STEMI” UA/NSTEMI
Characteristic (n=314) (n=884) p-value
Male 71% 65% 0.054
Age, yrs (mean) 62 63 0.35
Diabetes 19% 22% 0.15
Hypertension 60% 71% <0.05
Hyperlipidemia 50% 54% 0.072
Prior MI 15% 17% 0.55
Smoker 33% 30% 0.38
BMI, kg/m2 (mean) 28 28 0.86
CrCl, ml/min (mean) 101 99 0.45
CULPRIT ARTERY IN
Anterior Depressions “STEMI”* PATIENTS
60%
48.4%
50%
40% 33.8%
Patients
30%
17.8%
20%
10%
n=152 n=106 n=56
0%
LCx LAD RCA
6%
5%
4% 2.9%
3%
2%
1% n=641 n=314
n=243
0%
UA NS T E MI "S T E MI"
TFG 2/3 TFG 2/3 TFG 0/1
- Tn + Tn + Tn
INFARCT SIZE
Anterior Depressions
5
Peak CK-MB / ULN CK-MB
p<0.001
4
3.3
3
2 1.5
1
n=884 n=314
0
UA/NSTEMI STEMI
INFARCT SIZE BY
Anterior Depressions CULPRIT ARTERY
5
Peak CK-MB / ULN CK-MB
4.1
4 p<0.05 for all
3
3 2.5
2.3
2
1.2 1.3
1
0
LCx LAD RCA
UA/NSTEMI STEMI
MANAGEMENT
Anterior Depressions