A 50-year-old with chest pain and suspected NSTEMI receives UFH and ticagrelor. He becomes hypotensive with massive hematemesis; endoscopy reveals act...

Question

A 50-year-old with chest pain and suspected NSTEMI receives UFH and ticagrelor. He becomes hypotensive with massive hematemesis; endoscopy reveals active bleeding. After endoscopic hemostasis, what antithrombotic step aligns with bleeding management guidance?

Accepted Answer

Temporarily hold antiplatelet/anticoagulant and reassess; consider 4F-PCC if ongoing bleeding

Answer

Resume full-dose anticoagulation immediately

Answer

Permanently stop all antithrombotics given bleed

Answer

Give vitamin K for ticagrelor reversal

Answer

Give protamine to reverse ticagrelor

us-abem MCQ (SBA): Major Bleeding-Antithrombotic Management

A 50-year-old with chest pain and suspected NSTEMI receives UFH and ticagrelor. He becomes hypotensive with massive hematemesis; endoscopy reveals active bleeding. After endoscopic hemostasis, what antithrombotic step aligns with bleeding management guidance?