A 58-year-old after DES for ACS has high ischemic but moderate bleeding risk. After 1 month of DAPT (aspirin + ticagrelor), he remains stable. Which d...

Question

A 58-year-old after DES for ACS has high ischemic but moderate bleeding risk. After 1 month of DAPT (aspirin + ticagrelor), he remains stable. Which de-escalation strategy is supported by recent guidance?

Accepted Answer

Switch to ticagrelor monotherapy after 1 month.

Answer

Stop P2Y12 and continue aspirin alone immediately.

Answer

Switch to clopidogrel monotherapy now.

Answer

Continue ticagrelor plus aspirin indefinitely.

Answer

Hold all antiplatelets and start rivaroxaban alone.

us-abim MCQ (SBA): ACS-Early DAPT De-escalation

A 58-year-old after DES for ACS has high ischemic but moderate bleeding risk. After 1 month of DAPT (aspirin + ticagrelor), he remains stable. Which de-escalation strategy is supported by recent guidance?