Question

A 70-year-old woman presents with chest pain and ECG changes consistent with a non-ST-elevation myocardial infarction (NSTEMI). High-sensitivity troponin is raised. She has ongoing pain but is haemodynamically stable. According to NICE guidance, which is the most appropriate immediate antiplatelet strategy in addition to Aspirin?

Accepted Answer

Add Clopidogrel or Ticagrelor and continue dual antiplatelet therapy for up to 12 months

Answer

Add Clopidogrel and continue dual antiplatelet therapy for 1 week only

Answer

Stop Aspirin and start Clopidogrel monotherapy

Answer

Start low-dose Aspirin alone without a second antiplatelet

Answer

Add Dipyridamole to Aspirin instead of a P2Y12 inhibitor

Practice question