CHOICE OF ANTIPLATELET THERAPY FOR PATIENTS WITH ACUTE MYOCARDIAL INFARCTION WITHOUT PCI
DOI:
https://doi.org/10.55640/Keywords:
acute myocardial infarction, non-PCI, antiplatelet therapy, dual antiplatelet therapy, conservative management.Abstract
Acute myocardial infarction (AMI) remains a leading cause of morbidity and mortality worldwide. While percutaneous coronary intervention (PCI) is the preferred reperfusion strategy, a substantial proportion of patients are managed conservatively without PCI due to logistical, anatomical, or clinical reasons. Optimal antiplatelet therapy is critical in this population to prevent recurrent ischemic events and reduce mortality. This review summarizes current evidence on the choice of antiplatelet therapy in patients with AMI managed without PCI, including dual antiplatelet therapy (DAPT) options, the duration of therapy, and considerations for bleeding risk. Recent randomized controlled trials and guideline recommendations are discussed.
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