How long do you wear antiplatelets after a stent?
The most recent American College of Cardiology/American Heart Association guidelines on duration of dual‐antiplatelet therapy (DAPT) after percutaneous coronary intervention (PCI) with drug‐eluting stents (DESs) give a class I recommendation to continue DAPT for at least 12 months after an acute coronary syndrome (ACS) …
What is the minimal duration of time that dual antiplatelet therapy should be continued?
In patients with STEMI treated with DAPT in conjunction with fibrinolytic therapy, P2Y12 inhibitor therapy (clopidogrel) should be continued for a minimum of 14 days and ideally at least 12 months (Class I).
Is it safe to stop taking clopidogrel after one year?
Contrary to some recent reports indicating a full 12 months of dual antiplatelet therapy following percutaneous coronary intervention (PCI) is unnecessary, a large Danish registry study shows that halting clopidogrel after 1 year raises the risk of death and reinfarction in myocardial infarction (MI) patients.
Who should get dual antiplatelet therapy?
Dual antiplatelet therapy is recommended for an ABCD2 score of 4 or greater. Minor stroke can be identified by a National Institutes of Health (NIH) Stroke Scale score of 3 or less. The risk of recurrence after minor stroke is similar to that after a high-risk TIA.
Who needs dual antiplatelet therapy?
Can I cut clopidogrel in half?
Finding the lowest effective dose for those patients could conceivably cut their bill in half. Major findings of the study show that: Half of patients taking clopidogrel were getting too little of the drug to prevent clotting most effectively.
What is the optimal duration of dual antiplatelet therapy?
Patients should receive the standard duration (12 months) of dual antiplatelet therapy (DAPT) after percutaneous coronary intervention with drug-eluting stent implantation. Multiple trials investigating a shorter or longer duration of DAPT have been published, but most were underpowered and limited by open-label methodology.
When is dual antiplatelet therapy indicated?
Indications for dual antiplatelet therapy with aspirin and clopidogrel: evidence-based recommendations for use. There is evidence to support use of aspirin in combination with clopidogrel for patients presenting with all ACS types, as well as for patients presenting with PCI for any indication. The treatment duration varies, but patients who have received stenting should receive at least 1 year of combination ….
What is dual antiplatelet therapy?
Dual antiplatelet therapy (DAPT) is the combination of aspirin and one ADP-receptor blocker (clopidogrel, prasugrel, or ticagrelor). The duration of DAPT is a matter of discussion. After coronary intervention and stent placement, struts are triggered for acute intracoronary thrombosis until a complete reendothelialization of the coronary artery.
What does dual+antiplatelet+therapy stand for?
DAPT means Dual Antiplatelet Therapy This acronym/slang usually belongs to Medical & Science category.