Anti-platelet Therapy and Anticoagulants in ACS Patients – Which? When? Why? – What if I Need to Stop? - Dr. Sukh Nijjer

Summary

Sukh Nijjer discusses the various antithrombotic treatments and combinations for ACS patients

• Different anti platelet options - aspirin, PSY12 antagonists, GpIIbIIIa antagonists
• ESC guidelines
• Timing of anti platelet therapy - give at the time of making ACS diagnosis
• Pharmacokinetic profiles of the various drugs
• Duration of dual anti platelet therapy
• Stopping DAPT for bleeding or intercurrent surgery
• Bridging strategies
• Anticoagulant therapy - heparin, LMWH, bivalirudin, NOACs
• Co-existing AF and how to treat patients with AF and ACS/PCI