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The patient routinely received dual antiplatelet therapy (aspirin and clopidogrel) but did not receive proton pump inhibitor (PPI) and gastric mucosal protective agent.
ACCF/ACG/AHA 2008 expert consensus document on reducing the gastrointestinal risks of antiplatelet therapy and NSAID use: a report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents.
Newer longer-term studies have helped to clarify optimal durations of dual antiplatelet therapy for specific patients.
After stenting, patients should be put on dual antiplatelet therapy with Aspirin 75-100mg and Clopidogril and continue it for at least twelve months after stenting.
The patient was discharged on optimal medical therapy including dual antiplatelet therapy of aspirin and clopidogrel.
They concluded that there is absolutely no need to discontinue antiplatelet therapy for any ambulatory dental procedure and even if the practitioner wishes to discontinue it should not be for more than 3 days.
Top platelet function categories Topic No of Articles 1 Tests & Cardiology 7 2 Genomics 6 3 Point-of-Care 5 4 Invasive Procedures, 4 Bleeding/Thrombosis Prediction 5 Selection, Monitoring, Compliance 4 of Antiplatelet Therapy 6 Instrument Evaluation 3 Table 2.
One contributing factor could be overmedication caused by a combination of warfarin and antiplatelet therapy.
This was also true when dual antiplatelet therapy was used.
The evidence for various combination therapies is slowly increasing for stroke especially referring to antiplatelet therapy.
With the increased use of antiplatelet agents to prevent arterial thrombosis and the interest in identifying patients at risk for thrombosis despite antiplatelet therapy, the use of PFT to monitor the response to and/or titrate antiplatelet therapy (primarily aspirin and clopidogrel) has become a hot topic.
Patients who have had a heart attack are usually given a drug regimen, known as dual antiplatelet therapy, to prevent blood clots that can cause a second heart attack.