Question

A 66-year-old man on aspirin 81 mg daily for secondary prevention is scheduled for elective noncardiac surgery with moderate bleeding risk. What is the CHEST guideline-concordant approach to aspirin?

Accepted Answer

Continue aspirin; hold P2Y12 inhibitors as indicated by procedure

Answer

Stop aspirin 7 days prior for all elective surgeries

Answer

Switch aspirin to clopidogrel

Answer

Stop aspirin and bridge with heparin

Answer

Increase aspirin to 325 mg preoperatively

Practice question

A 66-year-old man on aspirin 81 mg daily for secondary prevention is scheduled for elective noncardiac surgery with moderate bleeding risk. What is the CHEST guideline-concordant approach to aspirin?