Early Aspirin Discontinuation vs DAPT After PCI in Patients With ACS: The NEO-MINDSET Trial

Early Aspirin Discontinuation vs DAPT After PCI in Patients With ACS: The NEO-MINDSET Trial

The NEO-MINDSET trial demonstrated that among patients with acute coronary syndrome (ACS) who underwent successful percutaneous coronary intervention (PCI), early discontinuation of aspirin and continuation with potent P2Y12 inhibitor monotherapy failed to demonstrate non-inferiority to dual antiplatelet therapy (DAPT) in terms of the 12-month composite ischemic endpoint of all-cause death, myocardial infarction (MI), stroke, or urgent target vessel revascularization (TVR), according to a study presented by Dr. Pedro A. Lemos, Hospital Israelita Albert Einstein, Brazil, in the Hot Line session at ESC Congress 2025.

Between October 2020 and October 2023, the NEO-MINDSET trial randomized 3,410 ACS patients from 50 h...
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