A 59-year-old with chronic coronary disease (prior MI) undergoes PCI with contemporary DES for stable angina. He is at high bleeding risk. What is a g...

Question

A 59-year-old with chronic coronary disease (prior MI) undergoes PCI with contemporary DES for stable angina. He is at high bleeding risk. What is a guideline-supported antiplatelet strategy after the first month?

Accepted Answer

Consider transition to P2Y12 inhibitor monotherapy after 1-3 months

Answer

Continue aspirin alone from day 1 post-PCI

Answer

Continue DAPT (aspirin + clopidogrel) for 12 months minimum

Answer

Stop all antiplatelets at 1 month if asymptomatic

Answer

Use triple therapy (aspirin, clopidogrel, warfarin) for 6 months

us-abim MCQ (SBA): Post-PCI Antiplatelet Strategy

A 59-year-old with chronic coronary disease (prior MI) undergoes PCI with contemporary DES for stable angina. He is at high bleeding risk. What is a guideline-supported antiplatelet strategy after the first month?