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Better tailored DAPT strategies are needed to address this medical need. It was assumed that all patients received either generic clopidogrel or ticagrelor for 1 year, and underwent VerifyNow P2Y12 assay testing before DAPT maintenance. Conclusion: Assessment of heightened residual platelet reactivity with P2Y12 assay in triaging DAPT post-ACS patients for 1 year is a cost-effective strategy that would reduce financial burden compared to routine administration of more expensive antiplatelet agents. Prasugrel is not marketed in Russia, so high-risk patients have been plavix generic cost ticagrelor. However, a considerable number of patients on clopidogrel have high residual platelet reactivity HRPR, potentially leading to inadequate protection and an excess of thrombotic events. Since the cost of ticagrelor is significantly higher than that of generic clopidogrel, assessing platelet reactivity with the VerifyNow P2Y 12 assay may optimise the care of post-ACS patients by identifying those with HRPR, who may benefit from ticagrelor.
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