Clinical Scenarios that Require Suspension of Antiplatelet Therapy in Patients with Ischemic Heart Disease
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Abstract
Antiplatelet therapy is increasingly common, especially among patients with ischemic heart disease or atrial fibrillation. With the rising number of individuals undergoing anticoagulation treatment, often for conditions like atrial fibrillation, and the increased use of antiplatelet drugs for atherosclerotic disease prevention, the necessity for procedural interventions that require the suspension of these therapies has surged. The decision to interrupt antiplatelet treatment becomes crucial in such scenarios, balancing the risks of thrombotic events and bleeding complications. Implementing appropriate strategies demands a comprehensive understanding of the indications, associated complications, and optimal management of this therapeutic interruption. This review aims to consolidate current knowledge and guidelines, providing insights into the theoretical framework, indications for suspension, potential complications, and practical considerations in managing the suspension of antiplatelet therapy in clinical scenarios related to ischemic heart disease.
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