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Clopidogrel versus Aspirin for Secondary Prevention in Coronary Artery Disease: A Comprehensive Meta-Analysis

MedXY Editorial Team•Oct 11, 2025•Cardiology
Antiplatelet TherapyAspirinclopidogrelcoronary artery diseaseSecondary Prevention

Highlight

  • In patients with established coronary artery disease (CAD), clopidogrel monotherapy significantly reduces major adverse cardiovascular or cerebrovascular events (MACCE) compared to aspirin.
  • No significant difference in major bleeding or mortality was observed between clopidogrel and aspirin monotherapy during long-term follow-up.
  • This evidence supports preferential use of clopidogrel over aspirin as secondary prevention in CAD patients, especially those post-percutaneous coronary intervention (PCI) or acute coronary syndrome (ACS).

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