Research Article

Clinical Outcome between Ticagrelor versus Clopidogrel in Patients with Acute Coronary Syndrome and Diabetes

Table 1

Baseline characteristics of ACS patients with diabetes.

Total ()Ticagrelor plus aspirin ()Clopidogrel plus aspirin () value

Age, years64.0 (57.0–69.0)64.0 (56.0–68.0)64.0 (57.0–69.0)0.671
Males, (%)86 (32.3%)39 (29.3%)47 (35.3%)0.294
BMI, kg/m224.8 (22.9–27.3)24.8 (23.0–27.6)24.8 (22.8–26.8)0.404
Current smoker, (%)141 (53.0%)73 (54.9%)68 (51.1%)0.539
Current drinking, (%)107 (40.2%)52 (39.1%)55 (41.4%)0.708
UAP, (%)199 (74.8%)96 (72.2%)103 (77.4%)0.323
STEMI, (%)32 (12.0%)19 (14.3%)13 (9.8%)0.258
NSTEMI, (%)35 (13.2%)18 (13.5%)17 (12.8%)0.856
Heart rate, bpm78.0 (70.0–87.0)78.0 (71.0–88.0)78.0 (68.5–86.0)0.402
SBP, mmHg131.5 (117.0–144.3)132.0 (115.0–149.5)131.0 (118.0–142.0)0.682
DBP, mmHg73.0 (63.0–82.0)73.0 (61.5–82.0)73.0 (65.0–81.5)0.687
History
 Previous MI, (%)34 (12.8%)21 (15.8%)12 (9.8%)0.142
 Previous coronary stent implantation, (%)46 (17.3%)26 (19.5%)20 (15.0%)0.331
 Previous GI bleeding, (%)8 (3.0%)4 (3.0%)4 (3.0%)1.000
 Hypertension, (%)176 (66.2%)80 (60.2%)96 (72.2%)0.038
 Hyperuricemia, (%)15 (5.6%)6 (4.5%)9 (6.8%)0.425
 Hyperlipemia, (%)57 (21.4%)28 (21.1%)29 (21.8%)0.881
 Liver insufficiency, (%)11 (4.1%)8 (63.0%)3 (2.3%)0.124
 Chronic kidney disease, (%)30 (11.3%)20 (15.0%)10 (7.5%)0.053
 Ischemic stroke, (%)22 (8.3%)9 (6.8%)13 (9.8%)0.373
Medication
 Statins, (%)262 (98.5%)132 (99.2%)130 (97.7%)0.314
 Nitrate, (%)66 (24.8%)32 (24.1%)34 (25.6%)0.776
 Beta blockers, (%)198 (74.7%)97 (72.9%)101 (76.5%)0.502
 RAAS inhibitors, (%)192 (72.5%)91 (68.9%)101 (75.9%)0.202
 Calcium channel blockers, (%)71 (26.7%)33 (24.8%)38 (28.6%)0.488
 Proton pump inhibitors, (%)148 (55.6%)76 (57.2%)72 (54.1%)0.622
 Insulin, (%)95 (35.7%)52 (39.1%)43 (32.3%)0.249
 Metformin, (%)120 (45.1%)57 (42.9%)63 (47.4%)0.460
 Acarbose, (%)74 (27.8%)33 (24.8%)41 (30.8%)0.274
 Other hypoglycemic agents, (%)97 (36.5%)42 (31.6%)55 (41.4%)0.098
Biomedical indicators
 Leukocyte, 109/L6.9 (5.9–8.2)7.0 (5.9–8.3)6.8 (5.9–8.1)0.534
 Hemoglobin, g/L130.0 (118.0–142.0)131.0 (116.5–143.0)129.0 (119.0–141.5)0.802
 Platelets, 109/L189.5 (150.0–220.3)189.0 (155.0–224.0)188.0 (146.5–219.0)0.597
 Mean platelet volume, fL11.5 (10.4–12.6)11.4 (10.4–12.5)11.6 (10.4–12.6)0.413
 Platelet distribution width, fL16.0 (13.8–17.1)15.5 (13.7–17.0)16.2 (14.0–17.3)0.124
 ALT, U/L23.7 (17.1–36.3)23.7 (17.4–37.5)23.7 (16.8–36.3)0.773
 AST, U/L21.1 (16.1–28.3)21.1 (16.3–29.2)20.6 (15.6–26.1)0.369
 Creatinine, μmol/L76.2 (63.0–88.4)77.3 (65.0–88.7)74.5 (61.3–88.4)0.317
 eGFR, mL/min88.0 (73.0–96.0)88.0 (74.5–95.0)88.0 (73.0–97.0)0.906
 Total cholesterol, mmol/L3.7 (3.1–4.5)3.7 (3.1–4.5)3.7 (3.1–4.5)0.437
 Triglyceride, mmol/L1.5 (1.1–2.1)1.4 (1.0–1.9)1.5 (1.2–2.1)0.085
 Glycosylated hemoglobin, %7.7 (6.8–8.9)7.7 (6.8–9.2)7.7 (6.8–8.7)0.565
Coronary angiography
 Single-vessel disease, (%)42 (15.8%)18 (13.5%)24 (18.0%)0.313
 Double-vessel disease, (%)105 (39.5%)48 (36.1%)57 (42.9%)0.258
 Triple-vessel disease, (%)119 (44.7%)67 (50.4%)52 (39.1%)0.064

Data were expressed as (%) and median (IQR). IQR: interquartile range; value, Mann-Whitney test, or Pearson chi-square test; ACS: acute coronary syndrome; ALT: alanine aminotransferase; AST: aspartate aminotransferase; BMI: body mass index; DBP: diastolic blood pressure; eGFR: estimated glomerular filtration rate; GI: gastrointestinal; MI: myocardial infarction; NSTEMI: non-ST-segment elevation myocardial infarction; STEMI: ST-segment elevation myocardial infarction; SBP: systolic blood pressure; RAAS: renin-angiotensin-aldosterone system; UAP: unstable angina pectoris.