Guidelines Updated for Use of Antiplatelet Therapy for Atherosclerotic CVD
By Elana Gotkine HealthDay Reporter
TUESDAY, Dec. 19, 2023 (HealthDay News) -- In a guideline update issued by the Canadian Cardiovascular Society/Canadian Association of Interventional Cardiology and published online Oct. 28 in the Canadian Journal of Cardiology, new recommendations are presented regarding the use of antiplatelet therapy (APT) for the prevention of atherosclerotic cardiovascular disease.
Kevin R. Bainey, M.D., from the Mazankowski Alberta Heart Institute at the University of Alberta in Edmonton, Canada, and colleagues updated guidelines for the use of APT for primary and secondary prevention of atherosclerotic cardiovascular disease.
The guidelines provide recommendations relating to the use of acetylsalicylic acid in the primary prevention of atherosclerotic cardiovascular disease; duration of dual APT (DAPT) after percutaneous coronary intervention (PCI) in patients with a high risk for bleeding; choice of potent DAPT (P2Y12 inhibitor) for patients presenting with an acute coronary syndrome (ACS) and possible DAPT de-escalation strategies after PCI; choice and duration of DAPT in patients with ACS who are treated medically, without revascularization; and DAPT pretreatment before coronary angiography. In addition, recommendations also address perioperative and longer-term APT management for those who need coronary artery bypass grafting surgery, as well as the use of APT for patients with atrial fibrillation who require oral anticoagulation after PCI or ACS with medical management.
"We really focus on individuals and determining their cardiovascular risk, their risk of bleeding, and then tailoring their antiplatelet therapy to maximize the outcomes for them," Bainey said in a statement. "So, it's really taking it to a different level; we're the first in the world to endorse a shared decision-making model, engaging the person who is at risk together with their doctor."
Abstract/Full Text
Disclaimer: Statistical data in medical articles provide general trends and do not pertain to individuals. Individual factors can vary greatly. Always seek personalized medical advice for individual healthcare decisions.
© 2024 HealthDay. All rights reserved.
Posted December 2023
Read this next
Early Aortic Valve Intervention Not Beneficial for Severe Aortic Stenosis
THURSDAY, Oct. 31, 2024 -- For patients with asymptomatic severe aortic stenosis and myocardial fibrosis, early aortic valve intervention does not impact all-cause death or...
ASN: Hypertension Most Common Cardiovascular Comorbidity Seen With Dialysis
WEDNESDAY, Oct. 30, 2024 -- Hypertension is the most common cardiovascular disease (CVD) comorbidity seen among dialysis patients globally, according to a study presented at...
Knowledge of Abdominal Aortic Calcification Results Improves Some CVD Risk Factors
THURSDAY, Oct. 24, 2024 -- Providing vascular imaging results does not improve diet but does improve some cardiovascular disease risk factors at 12 weeks posttest, according to a...
More news resources
- FDA Medwatch Drug Alerts
- Daily MedNews
- News for Health Professionals
- New Drug Approvals
- New Drug Applications
- Drug Shortages
- Clinical Trial Results
- Generic Drug Approvals
Subscribe to our newsletter
Whatever your topic of interest, subscribe to our newsletters to get the best of Drugs.com in your inbox.