Percutaneous Coronary Intervention PharmacologyFrom a Triangle to a Square*
Harold L. Dauerman, MD, FACC1,*
University of Vermont College of Medicine, Burlington, Vermont.

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Figure 1 PCI Pharmacology Trials: From the Triple to the Quadruple End Point
The current meta-analysis suggests that the primary end point of percutaneous coronary intervention (PCI) pharmacology trials needs revision. Instead of a triple end point—death, asymptomatic creatine kinase-myocardial band (CK-MB)/symptomatic myocardial infarction (MI), and target vessel revascularization (TVR)—future trials might focus on the quadruple end point, which includes the mortality risk of major bleeding. GPI = glycoprotein IIb/IIIa inhibitor.
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