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AHA/ACCF Issue Updated Guidelines for Unstable Angina
The “focused update” on unstable angina (chest pain) or non-ST-elevation myocardial infarction (NSTEMI) was published in Circulation.
The new recommendations include:
- Patients unable to take aspirin may receive prasugrel for artery-opening procedures since research on the medication is restricted to those patients. Ticagrelor or clopidogrel may be given whether patients receive medical therapy alone or are also having an invasive procedure.
- Patients undergoing invasive procedures should receive both aspirin and another antiplatelet medication.
- Patients undergoing medical treatment only should receive aspirin indefinitely and clopidogrel or ticagrelor for up to, or at least, 12 months.
The panel continues to recommend that all patients receive aspirin immediately after hospitalization, continuing as long as it is tolerated.