Early Post-Discharge Bleeding and Antiplatelet Therapy Discontinuation Among Acute Myocardial Infarction Patients Treated With Percutaneous Coronary Intervention

In our study, patients who did not have a follow-up outpatient appointment arranged before discharge were less likely to report their bleeding event to a clinician. [...]ensuring early clinical follow-up--particularly for patients at higher risk of bleeding (e.g., women, lower baseline functional st...

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Veröffentlicht in:Journal of the American College of Cardiology 2014-04, Vol.63 (16), p.1700-1702
Hauptverfasser: Wang, Tracy Y., MD, MHS, MSc, McCoy, Lisa, MS, Henry, Timothy D., MD, Effron, Mark B., MD, Messenger, John C., MD, Cohen, David J., MD, MSc, Mark, Daniel B., MD, MPH, Stone, Gregg W., MD, Zettler, Marjorie, PhD, MPH, Singh, Mandeep, MD, Fonarow, Gregg C., MD, Peterson, Eric D., MD, MPH
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Sprache:eng
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Zusammenfassung:In our study, patients who did not have a follow-up outpatient appointment arranged before discharge were less likely to report their bleeding event to a clinician. [...]ensuring early clinical follow-up--particularly for patients at higher risk of bleeding (e.g., women, lower baseline functional status, discharge on a second-generation ADPri regimen, or concurrent oral anticoagulant prescription)--might be a key first step in both raising subsequent bleeding events to clinical attention and avoiding premature ADPri discontinuation. [...]bleeding occurs commonly in the early period after discharge among MI patients treated with PCI and ADPris and is not always brought to clinical attention.
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2013.12.012