Dual Antiplatelet Therapy, Anticoagulants and Surgery

Heart HQ – a cardiology podcast

English - December 01, 2021 00:00 - 16 minutes - 11.2 MB - ★★★ - 1 rating
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Previous Episode: Takotsubo Cardiomyopathy and Perioperative Risk Assessment

Next Episode: Left Atrial Appendage Closure

In this week's episode Peter and Stuart discuss dual antiplatelet therapy (DAPT), anticoagulants and surgery.

They are often asked by doctors whether patients with previous stenting or acute coronary syndrome can temporarily stop DAPT before and after surgery. Stuart discusses how this may impact patients, specifically as it relates to non-cardiac surgery, both urgent and non-urgent.

Peter also takes a closer look at anticoagulants. Temporarily ceasing these medications can increase thromboembolic risk, whereas continuing these medications can increase the risk of perioperative bleeding. He takes a closer look at the suggested course of action for patients with atrial fibrillation, prosthetic heart vales and recent thromboembolism (eg pulmonary embolism).

You can access the show notes here.

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