Dual antiplatelet therapy after myocardial infarction on the example of the combination of acetylsalicylic acid and ticagrelor: For how long, in whom, and at what doses?

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Abstract

Abstract The analytical article presents the current state of secondary prevention in patients after myocardial infarction with the help of antiplatelet agents. The possibility of prolonging the duration of dual antiplatelet therapy to more than 1 year is among the innovations of recent years. We have discussed the components of long-term dual antiplatelet therapy and patient selection criteria for this treatment. According to the author’s point of view it is necessary to use combination of ticagrelor and acetylsalicylic acid in the early treatment of myocardial infarction. The results from the PEGASUS TIMI 54 study give arguments for prolonging the duration of effective dual antiplatelet therapy to more than 1 year on using low-dose ticagrelor (60 mg twice daily).

About the authors

O. V Averkov

O.M.Filatov City Clinical Hospital №15 of the Department of Health of Moscow

Email: oleg.averkov@gmail.com
д-р мед. наук, зам. гл. врача (рук. регионального сосудистого центра) ГБУЗ «ГКБ №15 им. О.М.Филатова» 111539, Russian Federation, Moscow, ul. Veshniakovskaia, d. 23

V. I Vechorko

O.M.Filatov City Clinical Hospital №15 of the Department of Health of Moscow

канд. мед. наук, гл. врач ГБУЗ «ГКБ №15 им. О.М.Филатова» 111539, Russian Federation, Moscow, ul. Veshniakovskaia, d. 23

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