Oğuzhan Birdal, MD (@droguzhan1907) 's Twitter Profile
Oğuzhan Birdal, MD

@droguzhan1907

Ataturk University, Cardiology Department, Interventional Cardiologist

ID: 1213604248958619655

calendar_today04-01-2020 23:33:03

234 Tweet

261 Followers

259 Following

Türk Kardiyoloji Derneği (@tkdresmi) 's Twitter Profile Photo

Dr. Vedat Aytekin ve Dr. Teoman Kılıç'ın moderatörlüğünde, ESC 2023'te güncellenen akut koroner sendrom kılavuzunu konuşuyoruz. #ESCCongress #ESC2023 #InstaCardio #akutkoronersendrom #TKD60Yıl #TürkKardiyolojiDerneği #Kardiyoloji

Dr. Vedat Aytekin ve Dr. Teoman Kılıç'ın moderatörlüğünde, ESC 2023'te güncellenen akut koroner sendrom kılavuzunu konuşuyoruz.
#ESCCongress #ESC2023 #InstaCardio #akutkoronersendrom #TKD60Yıl #TürkKardiyolojiDerneği #Kardiyoloji
I.H.Tanboga, MD, PhD (@ihtanboga) 's Twitter Profile Photo

There is no conclusive evidence supporting pretreatment in STEMI patients, However, the guideline should be more careful in selecting the references for downgrading class recommendations. I think cardiologists will not downgrade their belief in pretreatment in their practices 1/

I.H.Tanboga, MD, PhD (@ihtanboga) 's Twitter Profile Photo

The ESC-ACS guideline has provided 2 references for this recommendation (ISAR-REACT 5 and ATLANTIC). There is also a reference to an observational study within the text. 2/

The ESC-ACS guideline has provided 2 references for this recommendation (ISAR-REACT 5 and ATLANTIC). There is also a reference to an observational study within the text. 
2/
I.H.Tanboga, MD, PhD (@ihtanboga) 's Twitter Profile Photo

In the ISAR-REACT 5 trial, 40% of the patients were STEMI, and it was recommended to give them pretreatment right after randomization (before pPCI). Therefore, this reference is not a proper one for the new guideline's recommendation. 3/

In the ISAR-REACT 5 trial, 40% of the patients were STEMI, and it was recommended to give them pretreatment right after randomization (before pPCI). Therefore, this reference is not a proper one for the new guideline's recommendation.
3/
I.H.Tanboga, MD, PhD (@ihtanboga) 's Twitter Profile Photo

In the ATLANTIC, pre-hospital and in-hospital loading with ticagrelor (before angiography in the cath lab) were compared. Therefore, both groups were pretreated Moreover, this study was not powered for hard outcomes. Therefore, this trial is also not a correct one. 4/

In the ATLANTIC, pre-hospital and in-hospital loading with ticagrelor (before angiography in the cath lab) were compared. Therefore, both groups were pretreated  Moreover, this study was not powered for hard outcomes. Therefore, this trial is also not a correct one.
4/
I.H.Tanboga, MD, PhD (@ihtanboga) 's Twitter Profile Photo

In interventional pharmacology, the word pretreatment refers to the practice of administering an oral P2Y12 inhibitor **before the coronary anatomy** has been defined (Davide Capodanno review in JACCinterv)

Oğuzhan Birdal, MD (@droguzhan1907) 's Twitter Profile Photo

Gerçekten şaka gibi Abdullah Avcı da aynı şeyi yapıyor yok penaltı için kırmızı karta gerek var mıymış bilmem ne. Ya azıcık utanmanız olsun..