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This entry refers to a clinical study context, specifically the Phase 4 PREDICT trial (PRotective Effect on the Coronary Microcirculation of Patients With DIabetes by Clopidogrel or Ticagrelor), sponsored by the Fundacion Investigacion Interhospitalaria Cardiovascular. The study compares the effects of two P2Y12 inhibitors, **Ticagrelor** and **Clopidogrel**, on coronary microcirculation (measured by Index of Microcirculatory Resistance and Coronary Flow Reserve) in patients with type 2 diabetes mellitus or pre-diabetes undergoing percutaneous coronary intervention (PCI) for stable ischemic heart disease. Ticagrelor is a reversible, direct-acting P2Y12 receptor antagonist, while Clopidogrel is an irreversible P2Y12 antagonist prodrug. The trial aims to determine if Ticagrelor offers superior protection of the microvascular bed during PCI compared to Clopidogrel in this high-risk population.
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