{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T20:43:03Z","timestamp":1759178583907,"version":"3.40.5"},"reference-count":24,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,8,31]],"date-time":"2019-08-31T00:00:00Z","timestamp":1567209600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Current guidelines suggest to consider dual antiplatelet therapy (DAPT) continuation for longer than 12\u2009months in selected patients with myocardial infarction (MI).<\/jats:p><\/jats:sec><jats:sec><jats:title>Hypothesis<\/jats:title><jats:p>We sought to assess the criteria used by cardiologists in daily practice to select patients with a history of MI eligible for DAPT continuation beyond 1 year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed data from the EYESHOT Post\u2010MI, a prospective, observational, nationwide study aimed to evaluate the management of patients presenting to cardiologists 1 to 3\u2009years from the last MI event.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of the 1633 post\u2010MI patients enrolled in the study between March and December 2017, 557 (34.1%) were on DAPT at the time of enrolment, and 450 (27.6%) were prescribed DAPT after cardiologist assessment. At multivariate analyses, a percutaneous coronary intervention (PCI) with multiple stents and the presence of peripheral artery disease (PAD) resulted as independent predictors of DAPT continuation, while atrial fibrillation was the only independent predictor of DAPT interruption for patients both at the second and the third year from MI at enrolment and the time of discharge\/end of the visit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Risk scores recommended by current guidelines for guiding decisions on DAPT duration are underused and misused in clinical practice. A PCI with multiple stents and a history of PAD resulted as the clinical variables more frequently associated with DAPT continuation beyond 1 year from the index MI.<\/jats:p><\/jats:sec>","DOI":"10.1002\/clc.23262","type":"journal-article","created":{"date-parts":[[2019,8,31]],"date-time":"2019-08-31T09:58:35Z","timestamp":1567245515000},"page":"1113-1120","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["How do cardiologists select patients for dual antiplatelet therapy continuation beyond 1 year after a myocardial infarction? Insights from the EYESHOT Post\u2010MI Study"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8552-1272","authenticated-orcid":false,"given":"Leonardo","family":"De Luca","sequence":"first","affiliation":[{"name":"Division of Cardiology S. Giovanni Evangelista Hospital  Tivoli Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Furio","family":"Colivicchi","sequence":"additional","affiliation":[{"name":"Division of Cardiology S. Filippo Neri Hospital  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Meessen","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Research Istituto di Ricerche Farmacologiche Mario Negri  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Massimo","family":"Uguccioni","sequence":"additional","affiliation":[{"name":"Division of Cardiology Azienda Ospedaliera S. Camillo\u2010Forlanini  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federico","family":"Piscione","sequence":"additional","affiliation":[{"name":"Division of Preventive Cardiology SS Giovanni di Dio e Ruggi d'Aragona Hospital, University of Salerno  Fisciano Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paola","family":"Bernab\u00f2","sequence":"additional","affiliation":[{"name":"Division of Cardiology Ospedali Galliera  Genoa Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerardina","family":"Lardieri","sequence":"additional","affiliation":[{"name":"Division of Cardiology Ospedale di Gorizia e Monfalcone  Monfalcone Salerno Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonino","family":"Granatelli","sequence":"additional","affiliation":[{"name":"Division of Cardiology S. Giovanni Evangelista Hospital  Tivoli Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Domenico","family":"Gabrielli","sequence":"additional","affiliation":[{"name":"Division of Cardiology Augusto Murri Hospital  Fermo Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele M.","family":"Gulizia","sequence":"additional","affiliation":[{"name":"Division of Cardiology Garibaldi\u2010Nesima Hospital  Catania Italy"},{"name":"Heart Care Foundation  Florence Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"on behalf of the EYESHOT Post\u2010MI Investigators","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,8,31]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"213","article-title":"ESC focused update on dual antiplatelet therapy in coronary artery disease developed in collaboration with EACTS: the task force for dual 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