A 69-year-old with ASCVD and diabetes takes aspirin 81 mg daily. No atrial fibrillation. Should clopidogrel be added for primary prevention of stroke/...

Question

A 69-year-old with ASCVD and diabetes takes aspirin 81 mg daily. No atrial fibrillation. Should clopidogrel be added for primary prevention of stroke/MI?

Accepted Answer

No-avoid routine DAPT without specific indication

Answer

Yes-DAPT indefinitely reduces risk

Answer

Only if platelet function testing abnormal

Answer

Add ticagrelor instead of clopidogrel

Answer

Switch to warfarin

us-abim MCQ (SBA): Antiplatelet Therapy-Chronic CAD

A 69-year-old with ASCVD and diabetes takes aspirin 81 mg daily. No atrial fibrillation. Should clopidogrel be added for primary prevention of stroke/MI?