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Antiplatelet therapy in ACS: Choices and Controversies

Antiplatelet therapy in ACS

Read time: 100 mins
Last updated:17th Dec 2021
Published:17th Dec 2021

Antiplatelet therapy is a cornerstone of acute coronary syndrome (ACS) management. Discover:

  • The currently available antiplatelet therapies for patients with ACS
  • The challenges in antiplatelet therapy selection for ACS
  • The ESC and ACC/AHA guideline recommendations in our infographics

Antiplatelet therapies in acute coronary syndrome

Acute coronary syndrome (ACS) is an umbrella term for conditions characterised by a sudden reduction or occlusion of blood supply to the heart. 

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ESC and ACC guideline recommendations for antiplatelet therapy

The European Society of Cardiology (ESC) recommendations for antiplatelet therapy are available in three separate documents:

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Challenges in antiplatelet therapy selection in ACS

Selection of P2Y12 inhibitor

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Evidence for antiplatelet therapy in NSTE-ACS

Patients with non-ST-segment elevation acute coronary syndrome (NSTE-ACS) account for approximately two-thirds of all hospital admissions for ACS69,70.

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Evidence for antiplatelet therapy in STEMI

Antiplatelet therapy is an essential component of ST-elevation myocardial infarction (STEMI) management.

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References

  1. Makki N, Brennan TM, Girotra S. Acute coronary syndrome. Journal of intensive care medicine. 2015;30(4):186–200.
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