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Part 3 | Session 6 MIGHTy-Heart: Mobile Integrated Health in Heart Failure
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Part 3 | Session 10 Lifetime Benefit by Control of Modifiable Risk Factors
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Part 3 | Session 11 CardiAMP-HF: Autologous Cell Therapy in Patients With HFrEF
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Part 4 | Session 1 4 Trials That Will Change My Practice with Dr Ambarish Pandey
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Part 4 | Session 2 4 Trials That Will Change My Practice with Dr Dipti Itchhaporia
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Part 1 | Session 1 View from the Thoraxcenter: What's Hot at ACC.25?
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Part 1 | Session 2 View from the Thoraxcenter: ACC 25 Wrap-Up
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Part 2 | Session 1 ADVANCE-HTN: Lorundrostat in Patients with Uncontrolled Hypertension
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Part 2 | Session 2 STRIDE: Semaglutide for Functional Capacity in Patients with T2D and PAD
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Part 2 | Session 3 API-CAT: Reduced Vs Full Dose Apixaban for Cancer-Associated Thrombosis
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Part 2 | Session 4 FRESH-UP: Liberal Intake Vs Fluid Restriction in Chronic Heart Failure
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Part 2 | Session 5 SOUL: Semaglutide in Patients with T2D
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Part 2 | Session 6 BHF PROTECT-TAVI: Cerebral Embolic Protection in TAVI
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Part 3 | Session 1 The Phase 3 REVERSE-IT Trial
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Part 3 | Session 2 EVOLUT Low Risk: 5Y Outcomes After TAVR or SAVR in Low-Risk Patients with AS
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.
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.
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