ACC Congress 2025 Late-Breaking Science Collection

  • Published:  13 March 2025
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ACC Congress 2025 Late-Breaking Science Collection

  • Published:  13 March 2025
  • Views: 

    Views Icon

    2689

  • Likes: 

    Heart Icon

    3

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About the episode

ACC 25 - SMART-CHOICE 3 Trial finds clopidogrel monotherapy to be the optimal anti-thrombotic strategy in high risk patients with contemporary drug-eluting stents.

 

Dr Joo-Yong Hahn (Samsung Medical Center, Seoul, KR) joins us onsite at ACC Conference 2025 to discuss the findings from the SMART-CHOICE 3 study (NCT04418479). The study aims to evaluate the efficacy and safety of clopidogrel monotherapy compared to aspirin monotherapy after the standard duration of dual antiplatelet therapy (DAPT) in high risk patients undergoing percutanous coronary intervention (PCI) with current generation drug-eluting stents.

 

Findings showed that among patients at high risk of recurrent ischemic events and had completed a standard duration of DAPT following PCI, clopidogrel monotherapy led to a lower risk of a composite of death from any cause, myocardial infarction or stroke when compared to aspirin monotherapy. There was no observed increase in bleeding.

 

Interview Questions: 

1. What is the main objective of the study?

2. What was the study design, patient population and endpoints?

3. What are the key findings?

4. How might these findings influence clinical practice?

5. What are the next steps for future research?

 

Recorded on-site at ACC in Chicago, 2025.

Editors: Yazmin Sadik, Jordan Rance
Videographers: Dan Brent, David Ben-Harosh

Support: This is an independent interview produced by Radcliffe Cardiology.

Overview

Keep up-to-date with our video collection on the American College of Cardiology's 74th annual congress, covering late-breaking science, featured science and clinical horizon sessions. Don't miss the preview and wrap-up of the congress in our View From the Thoraxcenter series, concise Expert Interviews with select faculty offering take-home messages for practice, and our Highlights summarising the most influential trials.

More from this programme

Faculty Biographies

Joo-Yong Hahn

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