A 72-year-old with chronic coronary disease after a drug-eluting stent placed for NSTEMI 14 months ago has no bleeding events and remains on aspirin 8...

Question

A 72-year-old with chronic coronary disease after a drug-eluting stent placed for NSTEMI 14 months ago has no bleeding events and remains on aspirin 81 mg and clopidogrel 75 mg daily. He is scheduled for elective hernia repair. What is the best antiplatelet plan now?

Accepted Answer

Continue aspirin; stop clopidogrel 5 days before surgery

Answer

Continue dual antiplatelet therapy through surgery

Answer

Stop both aspirin and clopidogrel 7 days before surgery

Answer

Switch to ticagrelor and continue through surgery

Answer

Stop clopidogrel 2 days before surgery; continue aspirin

us-abim MCQ (SBA): Perioperative Antiplatelet Management

A 72-year-old with chronic coronary disease after a drug-eluting stent placed for NSTEMI 14 months ago has no bleeding events and remains on aspirin 81 mg and clopidogrel 75 mg daily. He is scheduled for elective hernia repair. What is the best antiplatelet plan now?