Inclusion Criteria | |
Provision of informed consent prior to any study-specific procedures | Provision of informed consent for angiography and PCI |
Diagnosis of acute STEMI or acute NSTEMI | Male or non-pregnant female, aged 18 to 80 years old |
Exclusion Criteria | |
Chest pain described by the patient as unbearable or patient’s request for analgesics | History of major surgery or severe trauma (within 3 months) |
Prior morphine administration during the current STEMI or NSTEMI | Patients considered by the investigator to be at risk of bradycardic events |
Treatment with ticlopidine, clopidogrel, prasugrel, or ticagrelor within 14 days before the study enrollment | Second- or third-degree atrioventricular block during screening for eligibility |
Hypersensitivity to ticagrelor | Patient required dialysis |
Current treatment with oral anticoagulant or chronic therapy with LMWH | History of asthma or severe chronic obstructive pulmonary disease |
Active bleeding | Manifest infection or inflammatory state |
History of intracranial hemorrhage | Killip class III or IV during screening for eligibility |
Recent gastrointestinal bleeding (within 30 days) | Respiratory failure |
History of coagulation disorders | History of severe chronic heart failure (NYHA class III or IV) |
Concomitant therapy with strong CYP3A inducers (rifampicin, phenytoin, carbamazepine, dexamethasone, phenobarbital) within 14 days and during study treatment | Concomitant therapy with strong CYP3A inhibitors (ketoconazole, itraconazole, voriconazole, telithromycin, clarithromycin, nefazadone, ritonavir, saquinavir, nelfinavir, indinavir, atazanavir) |
Hemoglobin concentration less than 10.0 g/dl | Platelet count less than <100 x10^3/mcl |
History of moderate or severe hepatic impairment | Body weight below 50 kg |