A 58-year-old with NSTEMI and high bleeding risk underwent PCI with DES. He asks about DAPT intensity. What de-escalation strategy is acceptable?...

Question

A 58-year-old with NSTEMI and high bleeding risk underwent PCI with DES. He asks about DAPT intensity. What de-escalation strategy is acceptable?

Accepted Answer

Early switch from potent P2Y12 to clopidogrel guided by risk/response

Answer

Potent P2Y12 for 12 months universally

Answer

Aspirin monotherapy from discharge

Answer

No P2Y12 due to bleeding risk

Answer

Add anticoagulant instead of P2Y12

acs—dapt de-escalation MCQ (SBA): NSTEMI