Prevention of premature discontinuation of dual antiplatelet therapy in patients with coronary artery stents: a science advisory from the American Heart Association, American College of Cardiology, Society for Cardiovascular Angiography and Interventions,

Abstract:

:Dual antiplatelet therapy with aspirin and a thienopyridine has been shown to reduce cardiac events after coronary stenting. However, many patients and healthcare providers prematurely discontinue dual antiplatelet therapy, which greatly increases the risk of stent thrombosis, myocardial infarction, and death. This advisory stresses the importance of 12 months of dual antiplatelet therapy after placement of a drug-eluting stent and educating the patient and healthcare providers about hazards of premature discontinuation. It also recommends postponing elective surgery for 1 year, and if surgery cannot be deferred, considering the continuation of aspirin during the perioperative period in high-risk patients with drug-eluting stents.

journal_name

Circulation

journal_title

Circulation

authors

Grines CL,Bonow RO,Casey DE Jr,Gardner TJ,Lockhart PB,Moliterno DJ,O'Gara P,Whitlow P,American Heart Association.,American College of Cardiology.,Society for Cardiovascular Angiography and Interventions.,American College of Surgeon

doi

10.1161/CIRCULATIONAHA.106.180944

subject

Has Abstract

pub_date

2007-02-13 00:00:00

pages

813-8

issue

6

eissn

0009-7322

issn

1524-4539

pii

CIRCULATIONAHA.106.180944

journal_volume

115

pub_type

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