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Volume 358:1298-1301 March 20, 2008 Number 12
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Prasugrel versus Clopidogrel

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 by Bhatt, D. L.
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 by Wiviott, S. D.
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To the Editor: Wiviott et al. (Nov. 15 issue)1 report the pivotal results of the Trial to Assess Improvement in Therapeutic Outcomes by Optimizing Platelet Inhibition with Prasugrel–Thrombolysis in Myocardial Infarction (TRITON–TIMI) 38. To better assess the advantage of prasugrel over clopidogrel with respect to the benefit:risk ratio, two important clinical issues should be clarified. Since the numbers of deaths were nearly identical in the prasugrel group (154 deaths) and the clopidogrel group (155 deaths), as were the numbers of strokes, and since for each death from cardiovascular causes prevented by the use of prasugrel, one additional episode of fatal . . . [Full Text of this Article]




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