Question 500 · LEK · Acute coronary syndromes
A 75-year-old female with atrial fibrillation treated with apixaban, underwent percutaneous coronary intervention with stent implantation of the left anterior descending (LAD) artery due to myocardial infarction. Dual antiplatelet therapy with acetylsalicylic acid (ASA) and clopidogrel was implemented. In this case, after 7 days you should:
- A. discontinue acetylsalicylic acid.
- B. discontinue clopidogrel.
- C. switch apixaban to warfarin.
- D. continue the therapy for 6 months.
- E. continue the therapy for 12 months.
Hint
In AF patients after PCI, triple antithrombotic therapy is kept as short as possible; consider which drug is dropped first to reduce bleeding.
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