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003 EG-GiCUC
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008 210227s2020 ua dh f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.11.29.Ph.D.2020.Na.C
100 0 _aNagwan Mahmoud Salama
245 1 0 _aClopidogrel versus ticagrelor in patients undergoing elective percutaneous coronary intervention with determination of plasma levels of both drugs using high performance liquid chromatography (HPLC) /
_cNagwan Mahmoud Salama ; Supervised Elsayed Mahmoud Elrokh , Ghada Mohamed Abdelzaher Hashim , Dina Ahmed Ali Labib
246 1 5 _aعقار الكلوبيدوجريل مقارنة بعقار التيكاجريلور فى مرضى القلب الخاضعين لقسطره القلب التداخليه العلاجيه مع تحديد نسبة العقارين فى البلازما باستخدام جهاز الكروماتوجرافيا السائله ذات الأداء العالى
260 _aCairo :
_bNagwan Mahmoud Salama ,
_c2020
300 _a112 P. :
_bcharts , facimiles ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Pharmacology
520 _aBackground and Objective: Recent guidelines consider percutaneous coronary intervention (PCI) with stent placement as a safe procedure in patients with stable coronary artery disease (SCAD) and it can improve the quality of life compared with the strategy of medical therapy. Oral anti-platelet agents, particularly aspirin in combination with ADP receptor blocker such as clopidogrel or ticagrelor constitute a cornerstone of therapy for these patients to reduce the risk of periprocedural and post-procedural ischemic events. To our knowledge, ticagrelor has not been well evaluated in elective PCI compared to clopidogrel, the currently recommended treatment Aim of the work: The aim of this work is to compare the clinical safety and efficacy of clopidogrel versus ticagrelor, as a part of dual anti-platelet therapy, in patients undergoing elective percutaneous coronary intervention with determination of actual plasma concentrations and the platelet inhibitory effect of both drugs by the help of ultra-high-performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS) and light transmission aggregometry (LTA) respectively. Methods: A total of 60 patients diagnosed with SCAD were enrolled in this study and scheduled for PCI. In addition to aspirin, half of the Patients received clopidogrel, 600 mg loading dose and 75mg daily thereafter. The other thirty patients received ticagrelor at a loading dose of 180mg and 90 mg twice daily thereafter. Detailed history of patients was taken before the PCI, including age, sex, BMI, presence of cardiovascular risk factors as hypertension, diabetes mellitus, hyperlipidemia, smoking, positive family history and medications on admission
530 _aIssued also as CD
653 4 _aClopidogrel
653 4 _aSCAD
653 4 _aTicagrelor
700 0 _aDina Ahmed Ali Labib ,
_eSupervisor
700 0 _aElsayed Mahmoud Elrokh ,
_eSupervisor
700 0 _aGhada Mohamed Abdelzaher Hashim ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c80024
_d80024