Table 1.
Inclusion criteria | Definition |
PCI 30–90 days before study inclusion | Elective or emergency procedure |
Dual/triple antithrombotic therapy | Including a P2Y12 inhibitor |
Classified as ‘vulnerable’ by ≥ 3 predefined risk factors: |
Age ≥ 75 years |
Female gender | |
Renal dysfunction (MDRD-eGFR ≤ 60 ml/min) | |
Body weight ≤ 60 kg | |
Hypertension (previously diagnosed, or on medication) | |
Diabetes mellitus | |
Anaemia (Hb < 8.2 mmol/l for men, < 7.3 mmol/l for women) | |
Previous stroke | |
Previous major bleeding | |
Liver dysfunction (known hepatitis or transplant) | |
History of gastric/duodenal ulcers | |
Daily use of NSAIDs or SSRIs | |
Triple antithrombotic therapy (DAPT + oral anticoagulants) | |
Previous in-stent thrombosis or high risk coronary stent (≥ 3 lesions treated, total stent length > 60 mm, last remaining vessel, or left main coronary artery stenting) | |
Exclusion criteria | Definition |
Known platelet function disorders | Previously diagnosed platelet function disorders |
Recent coronary intervention | PCI or CABG ≤ 7 days |
Recent new ischaemic event | ACS or stroke ≤ 7 days |
Signs of active infection | Fever, antibiotic treatment or hospital admission during laboratory assessment of platelet function |
Medication non-compliance | Confirmed non-compliance in antithrombotic medication by patient interview or pharmacy dispensing |
PCI percutaneous coronary intervention, MDRD-eGFR Modification of Diet in Renal Disease—estimated glomerular filtration rate, Hb Haemoglobin, NSAIDs non-steroidal anti-inflammatory drugs, SSRIs selective serotonin reuptake inhibitors, DAPT dual antiplatelet therapy, CABG coronary artery bypass graft, ACS acute coronary syndrome