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- W4293229968 abstract "<h3>Background and importance</h3> Long-term dual antiplatelet therapy (DAPT) is one of the most researched therapies that involves the combination of acetylsalicylic acid (ASA) and platelet adenosine diphosphate receptor inhibitor (P2Y<sub>12</sub>). The main indication for DAPT is prevention of coronary events after an acute coronary syndrome (ACS) or after a percutaneous coronary intervention (PCI) but in practice, there is confusion. Recommendations indicate that DAPT can be maintained over a year depending on the ischaemic and haemorrhagic risk of each patient. <h3>Aim and objectives</h3> The aim of this study was to investigate DAPT indications and risk factors related to extending this therapy for over a year despite the fact that suspension of one antiplatelet drug was indicated (medication discrepancies). <h3>Material and methods</h3> Of a total number of 221 patients with DAPT from January 2009–2020, this observational and reprospective study was based on a simple random sampling including 33% of the total of patients. Data were obtained by review of electronic medical records. <h3>Variables collected</h3> demographic, clinical services, DAPT indication, drugs used, durability, risk factors of extending DAPT and medication discrepancies. <h3>Results</h3> Final analyses included 70 patients. Median age 69 (IQR 63–78) years, 88.6% men. The median of years with DAPT was 6.5 (IQR 3–11). The prescribing clinical services were cardiology (84.3%), vascular surgery (5.7%) and others (10%). Patients treated with ASA+clopidogrel were 87.1%, 10% with ASA+ticagrelor and 2.9% others. Of the 70 patients studied, 91.4% had indications for use of DAPT therapy and 8.6% did not. According to therapeutic indication, 61.4% had ACS and PCI and 30% had stable coronary artery disease and PCI. Among patients without indication, 4.3% were treated for conservative management of ACS and 4.3% for stroke prevention. Risk factors that may justify long-term therapy were: 40% previous acute myocardial infarction, 34.3% multivessel coronary artery disease, 10% recurrent ischemic events and others. 8.6% of patients had medication discrepancies. <h3>Conclusion and relevance</h3> Many patients had indication for DAPT at the beginning of treatment and had risk factors that would justify long-term DAPT but duration was not evaluated. It is necessary for a multidisciplinary team to manage this therapy, considering the risk–benefit to each patient. <h3>References and/or acknowledgements</h3> <h3>Conflict of interest</h3> No conflict of interest" @default.
- W4293229968 created "2022-08-27" @default.
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- W4293229968 date "2022-03-01" @default.
- W4293229968 modified "2023-09-28" @default.
- W4293229968 title "5PSQ-087 Long-term dual antiplatelet therapy: controversy continues" @default.
- W4293229968 doi "https://doi.org/10.1136/ejhpharm-2022-eahp.309" @default.
- W4293229968 hasPublicationYear "2022" @default.
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