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Paradoxical myocardial infarction risk with dual antiplatelet therapy in East Asian ischaemic stroke: a nationwide real-world cohort study and pharmacogenomic risk prediction model

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Therapeutic Advances in Neurological Disorders

Published online on

Abstract

Therapeutic Advances in Neurological Disorders, Volume 19, January-December 2026.
Background:Antithrombotic guidelines for secondary stroke prevention are derived predominantly from Western populations, yet East Asian patients exhibit markedly higher cytochrome P450 2C19 (CYP2C19) loss-of-function allele prevalence (50%–60% vs ~25% in ...