Facharzt FMH Kardiologie Practice Questions - Facharzt FMH Für Kardiologie Spécialiste FMH En Cardiologie Exam

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A 78-year-old female with a history of major peptic ulcer bleeding 4 months ago and baseline anemia (hemoglobin 98 g/L) undergoes uncomplicated drug-eluting stent implantation for NSTEMI. She meets the Academic Research Consortium criteria for High Bleeding Risk (ARC-HBR). According to ESC ACS guidelines and the MASTER-DAPT trial, what is the most appropriate antithrombotic strategy?

Dual antiplatelet therapy for 1 month, followed by single antiplatelet monotherapy (e.g., clopidogrel or ticagrelor). Dual antiplatelet therapy with aspirin and prasugrel for a mandatory minimum duration of 12 months. Triple antithrombotic therapy with aspirin, clopidogrel, and rivaroxaban for 6 months. Lifelong aspirin monotherapy starting on the day of PCI with complete avoidance of all P2Y12 inhibitors.

Correct Answer:

Dual antiplatelet therapy for 1 month, followed by single antiplatelet monotherapy (e.g., clopidogrel or ticagrelor).

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