Individualising Antithrombotic Strategies for Acute and Chronic Coronary Syndromes

For patients presenting with acute or chronic coronary syndromes, current guideline recommendations and expert consensus provide a range of options for antithrombotic treatment. The European Society of Cardiology 2023 guidelines on the management of acute coronary syndrome emphasise the need to asse...

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Main Author: Robert F Storey
Format: Article
Language:English
Published: Radcliffe Medical Media 2024-05-01
Series:Interventional Cardiology: Reviews, Research, Resources
Online Access:https://www.icrjournal.com/articleindex/icr.2023.44
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author Robert F Storey
author_facet Robert F Storey
author_sort Robert F Storey
collection DOAJ
description For patients presenting with acute or chronic coronary syndromes, current guideline recommendations and expert consensus provide a range of options for antithrombotic treatment. The European Society of Cardiology 2023 guidelines on the management of acute coronary syndrome emphasise the need to assess the risk of both ischaemic events and bleeding. Those with high bleeding risk warrant particular consideration of the duration and intensity of antithrombotic therapy combinations. A joint consensus of experts takes a similar approach, informed by two network meta-analyses that appraised all available antithrombotic treatments within or after the 12 months following coronary revascularisation and/or acute coronary syndrome and individual participant data from six trials. In this article, four case studies are used to illustrate how these guidelines and expert consensus recommendations can be applied in clinical practice.
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series Interventional Cardiology: Reviews, Research, Resources
spelling doaj-art-dae4fa01802141709a07f947b5db5f502025-08-20T02:39:23ZengRadcliffe Medical MediaInterventional Cardiology: Reviews, Research, Resources1756-14771756-14852024-05-011910.15420/icr.2023.44Individualising Antithrombotic Strategies for Acute and Chronic Coronary SyndromesRobert F Storey0Division of Clinical Medicine, School of Medicine and Population Health, University of Sheffield, Sheffield, UKFor patients presenting with acute or chronic coronary syndromes, current guideline recommendations and expert consensus provide a range of options for antithrombotic treatment. The European Society of Cardiology 2023 guidelines on the management of acute coronary syndrome emphasise the need to assess the risk of both ischaemic events and bleeding. Those with high bleeding risk warrant particular consideration of the duration and intensity of antithrombotic therapy combinations. A joint consensus of experts takes a similar approach, informed by two network meta-analyses that appraised all available antithrombotic treatments within or after the 12 months following coronary revascularisation and/or acute coronary syndrome and individual participant data from six trials. In this article, four case studies are used to illustrate how these guidelines and expert consensus recommendations can be applied in clinical practice.https://www.icrjournal.com/articleindex/icr.2023.44
spellingShingle Robert F Storey
Individualising Antithrombotic Strategies for Acute and Chronic Coronary Syndromes
Interventional Cardiology: Reviews, Research, Resources
title Individualising Antithrombotic Strategies for Acute and Chronic Coronary Syndromes
title_full Individualising Antithrombotic Strategies for Acute and Chronic Coronary Syndromes
title_fullStr Individualising Antithrombotic Strategies for Acute and Chronic Coronary Syndromes
title_full_unstemmed Individualising Antithrombotic Strategies for Acute and Chronic Coronary Syndromes
title_short Individualising Antithrombotic Strategies for Acute and Chronic Coronary Syndromes
title_sort individualising antithrombotic strategies for acute and chronic coronary syndromes
url https://www.icrjournal.com/articleindex/icr.2023.44
work_keys_str_mv AT robertfstorey individualisingantithromboticstrategiesforacuteandchroniccoronarysyndromes