| How to manage patients with need for antiplatelet therapy in the setting of (un-)planned surgery. | |
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MedLine Citation:
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PMID: 18853094 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The growing incidence of cardiovascular diseases leads to an increase in patients who require treatment with antiplatelet drugs. About 5% of patients who underwent a percutaneous coronary intervention will have to undergo surgery within the first year. In these patients the problem evolves how to handle the antiplatelet therapy in the perioperative period. A continuation of these drugs in order to reduce cardiovascular events is associated with increased perioperative bleeding. Withdrawing antiplatelet agents in order to reduce surgical hemorrhage leads to a significant increase of cardiovascular morbidity and mortality, especially in patients who have been treated with implantation of drug eluting stents. This review balances the specific risks of either approach and offers an algorithm how to manage patients in need for antiplatelet therapy in the setting of (un-)planned surgery. |
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Authors:
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Helge Möllmann; Holger M Nef; Christian W Hamm; Albrecht Elsässer |
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Publication Detail:
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Type: Journal Article; Review Date: 2008-10-13 |
Journal Detail:
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Title: Clinical research in cardiology : official journal of the German Cardiac Society Volume: 98 ISSN: 1861-0692 ISO Abbreviation: - Publication Date: 2009 Jan |
Date Detail:
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Created Date: 2009-01-26 Completed Date: 2009-03-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101264123 Medline TA: Clin Res Cardiol Country: Germany |
Other Details:
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Languages: eng Pagination: 8-15 Citation Subset: IM |
Affiliation:
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Dept. of Cardiology, Kerckhoff Heart Center, Benekestrasse 2-8, 61231, Bad Nauheim, Germany. helge.moellmann@mpi-bn.mpg.de |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Algorithms Angioplasty, Transluminal, Percutaneous Coronary Cardiovascular Diseases / drug therapy*, surgery Drug-Eluting Stents Hemorrhage / chemically induced Humans Intraoperative Complications / chemically induced Perioperative Care / methods Platelet Aggregation Inhibitors / adverse effects, therapeutic use* Risk Assessment |
| Chemical | |
Reg. No./Substance:
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0/Platelet Aggregation Inhibitors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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