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

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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


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