Canadian Cardiovascular Society/Canadian Association of Interventional Cardiology 2023 Focused Update of the Guidelines for the Use of Antiplatelet Therapy

被引：17

作者：

Bainey, Kevin R. ^{[1
,25
]}

Marquis-Gravel, Guillaume ^{[2
]}

Belley-Cote, Emilie

Turgeon, Ricky D. ^{[4
]}

Ackman, Margaret L. ^{[5
]}

Babadagli, Hazal E. ^{[6
]}

Bewick, David ^{[7
]}

Boivin-Proulx, Laurie-Anne ^{[2
]}

Cantor, Warren J. ^{[8
]}

Fremes, Stephen E. ^{[9
]}

Graham, Michelle M. ^{[10
]}

Lordkipanidze, Marie ^{[11
]}

Madan, Mina ^{[12
]}

Mansour, Samer ^{[13
]}

Mehta, Shamir R. ^{[3
]}

Potter, Brian J. ^{[13
]}

Shavadia, Jay ^{[14
]}

So, Derek F. ^{[15
]}

Tanguay, Jean-Francois

Welsh, Robert C.

Yan, Andrew T. ^{[16
]}

Bagai, Akshay ^{[17
]}

Bagur, Rodrigo ^{[18
]}

Bucci, Claudia ^{[19
]}

Elbarouni, Basem ^{[20
]}

Geller, Carol ^{[21
]}

Lavoie, Andrea ^{[22
]}

Lawler, Patrick ^{[23
]}

Liu, Shuangbo ^{[20
]}

Mancini, John ^{[24
]}

Wong, Graham C. ^{[24
]}

机构：

[1] Univ Alberta, Mazankowski Alberta Heart Inst, Edmonton, AB, Canada

[2] Univ Montreal, Inst Cardiol Montreal, Montreal, PQ, Canada

[3] McMaster Univ, Populat Hlth Res Inst, Hamilton Hlth Sci, Hamilton, ON, Canada

[4] Univ British Columbia, St Pauls Hosp, PHARM HF Clin, Vancouver, BC, Canada

[5] Alberta Hlth Serv, Edmonton, AB, Canada

[6] Alberta Hlth Serv, Mazankowski Alberta Heart Inst, Pharm Serv, Edmonton, AB, Canada

[7] Dalhousie Univ, St John Reg Hosp, Dept Med, Div Cardiol, St John, NB, Canada

[8] Univ Toronto, Southlake Reg Hlth Ctr, Toronto, ON, Canada

[9] Univ Toronto, Sunnybrook Hlth Sci Ctr, Toronto, ON, Canada

[10] Univ Alberta, Fac Med & Dent, Div Cardiol, Edmonton, AB, Canada

[11] Univ Montreal, Montreal Heart Inst, Fac Pharm, Res Ctr, Montreal, PQ, Canada

[12] Univ Toronto, Schulich Heart Ctr, Sunnybrook Hlth Sci Ctr, Toronto, ON, Canada

[13] Ctr Hosp Univ Montreal, Montreal, PQ H2X3E4, Canada

[14] Univ Saskatchewan, Coll Med, Saskatoon, SK, Canada

[15] Univ Ottawa, Heart Inst, Ottawa, ON, Canada

[16] Unity Hlth Toronto, St Michaels Hosp, Div Cardiol, Toronto, ON, Canada

[17] Univ Toronto, St Michaels Hosp, Terrence Donnelly Heart Ctr, Toronto, ON, Canada

[18] Western Univ, London Hlth Sci Ctr, London, ON, Canada

[19] Sunnybrook Hlth Sci Ctr, Toronto, ON, Canada

[20] Univ Manitoba, St Boniface Hosp, Dept Med, Winnipeg, MB, Canada

[21] Univ Ottawa, Centretown Community Hlth Ctr, Ottawa, ON, Canada

[22] Prairie Vasc Res Inc, Regina, SK, Canada

[23] Univ Toronto, Toronto Gen Hosp, Peter Munk Cardiac Ctr, Toronto, ON, Canada

[24] Univ British Columbia, Dept Med, Div Cardiol, Vancouver, BC, Canada

[25] Univ Alberta, Univ Hosp, Mazankowski Alberta Heart Inst, 2C2 Walter Mackenzie, Edmonton, AB T6G 2B7, Canada

来源：

CANADIAN JOURNAL OF CARDIOLOGY | 2024年 / 40卷 / 02期

关键词：

PERCUTANEOUS CORONARY INTERVENTION; ACUTE MYOCARDIAL-INFARCTION; OPEN-LABEL; PREHOSPITAL TICAGRELOR; SECONDARY PREVENTION; PRIMARY ANGIOPLASTY; P2Y(12) INHIBITOR; DOSE CLOPIDOGREL; NON-INFERIORITY; DE-ESCALATION;

D O I：

10.1016/j.cjca.2023.10.013

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Antiplatelet therapy (APT) is the foundation of treatment and prevention of atherothrombotic events in patients with atherosclerotic cardiovascular disease. Selecting the optimal APT strategies to reduce major adverse cardiovascular events, while balancing bleeding risk, requires ongoing review of clinical trials. Appended, the focused up- date of the Canadian Cardiovascular Society/Canadian Association of Interventional Cardiology guidelines for the use of APT provides rec- ommendations on the following topics: specialIntscript use of acetylsalicylic acid in primary prevention of atherosclerotic cardiovascular disease; specialIntscript dual APT (DAPT) duration after percutaneous coronary intervention (PCI) in patients at high bleeding risk; specialIntscript potent DAPT (P2Y12 inhibitor) choice in patients who present with an acute coronary syndrome (ACS) and possible DAPT de-escalation strategies after PCI; specialIntscript choice and duration of DAPT in ACS patients who are medically treated without revascularization; specialIntscript pretreatment with DAPT (P2Y12 inhibitor) before elective or nonelective coronary angiography; specialIntscript perioperative and longer -term APT management in patients who require coronary artery bypass grafting surgery; and specialIntscript use of APT in patients with atrial fibrillation who require oral anticoagulation after PCI or medically managed ACS. These recommendations are all on the basis of sys- tematic reviews and meta -analyses conducted as part of the devel- opment of these guidelines, provided in the Supplementary Material.

引用

页码：160 / 181

页数：22

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