Stroke, Ischemic
Conditions
Brief summary
Uncertainty remains regarding the impact of enteric-coated (EC) aspirin as it relates to the reduction of CV risk. We hypothesize that EC formulation based on the previous report may blunt aspirin response as evidenced by reduced Thromboxane A2 (TXA 2) levels in diabetic patients.
Interventions
Study participants will be assigned to receive either EC Aspirin and will be required to continue taking them throughout the study (three days).
Study participants will be assigned to receive either Plain Aspirin and will be required to continue taking them throughout the study (three days).
Sponsors
Study design
Eligibility
Inclusion criteria
1. Newly diagnosed ischemic stroke who are just about to start aspirin. 2. No prior history of cardiovascular morbidity (including ischemic heart disease, chronic kidney disease, peripheral vascular disease) 3-18- 75 years. 4-Patients with ischemic stroke who underwent reperfusion intervention (catheter-directed thrombolysis and/or thrombectomy) regardless of the time of presentation (i.e within or outside the therapeutic window as the managing stroke deem fit.
Exclusion criteria
1. Concomitant antiplatelet therapy (irrespective of the duration of the treatment). 2. Patients on any prostaglandins related medications (non-steroidal anti-inflammatory drugs, misoprostol, and other ant secretory drugs among others). 3. Any salicylate-containing supplements. 4. Patients on the NG tube will be excluded from the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of Aspirin non-responders. | At Day 3 | Aspirin nonresponsiveness is defined as a level of residual serum TXB2 associated with elevated thrombotic risk (\<99.0% inhibition or TXB2 \>3.1 ng/ml) after 3 daily aspirin doses |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of Gastrointestinal bleeding consequent upon aspirin therapy. | After three daily aspirin doses ( at Day 3) | Major and minor GIT bleeding |
Countries
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