SCPA Posted February 14, 2019 Share Posted February 14, 2019 Are there any guidelines for managing pts who require long-term antiplatelet Tx but are already on anticoagulant? I.e. - > 60-something year old M on NOAC for afib , has a carotid scan which shows moderate carotid stenosis -> pt is completely asymptomatic. Statin is optimized. Is chronic antiplatelet + anticoagulant warranted? Link to comment Share on other sites More sharing options...
UGoLong Posted February 14, 2019 Share Posted February 14, 2019 https://www.bmj.com/content/359/bmj.j3782.full Link to comment Share on other sites More sharing options...
SCPA Posted February 14, 2019 Author Share Posted February 14, 2019 24 minutes ago, UGoLong said: https://www.bmj.com/content/359/bmj.j3782.full Unfortunately I do not have subscription! Thanks for input though. Link to comment Share on other sites More sharing options...
charlottew Posted February 14, 2019 Share Posted February 14, 2019 Cardiology consult! Link to comment Share on other sites More sharing options...
Joelseff Posted February 14, 2019 Share Posted February 14, 2019 Here's the bullet points... I think the 2nd point answers your question... Sent from my SAMSUNG-SM-G891A using Tapatalk Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted February 14, 2019 Moderator Share Posted February 14, 2019 the issue is the pt who is anticoagulated who keeps having TIAs, DVTs, etc... Link to comment Share on other sites More sharing options...
Moderator ventana Posted February 16, 2019 Moderator Share Posted February 16, 2019 On 2/14/2019 at 2:53 PM, charlottew said: Cardiology consult! NO!!!!! Read. Educate yourself. Practice medicine not gate keeping!!!!! Link to comment Share on other sites More sharing options...
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