Nihar Ranjan Nayak
Nihar Ranjan Nayak

@nihar_nayak2

2 Tweets 4 reads Nov 29, 2022
Antiplatelet therapy (DAPT) in STEMI:
1. All patients must receive aspirin ASAP. 300 mg load f/b 75 mg OD
In addition to aspirin:
2. If doing PCI: ticagrelor (180 load f/b 90 BD) or prasugrel (60 load f/b 10 OD) is preferred over clopidogrel (600 load f/b 75 OD)
3. If fibrinolysis: add clopidogrel (300 mg load f/b 75 OD if age <75 yr, 75 OD if >75 year) to aspirin.
4. No revascularization: add ticagrelor in PCI dose to aspirin.
Minimum 1 year of DAPT after STEMI (can be shorter or longer in some conditions)
GPIIb/IIIa: limited role

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