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, American College of Surgeons, and American Dental Association, with representation from the American College of Physicians

Cindy L. Grines, Robert O. Bonow, Donald E. Casey, Timothy J. Gardner, Peter B. Lockhart, David J. Moliterno, Patrick O'Gara, Patrick Whitlow

Research output: Contribution to journalReview articlepeer-review

696 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)813-818
Number of pages6
JournalCirculation
Volume115
Issue number6
DOIs
StatePublished - Feb 2007

Keywords

  • AHA Scientific Statements
  • Myocardial infarction
  • Myocardial stunning
  • Stents
  • Thrombosis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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