What are the Recommended Adjunctive Antithrombotic Therapies for Primary PCI?
The recommended adjunctive antithrombotic therapies for primary PCI are antiplatelet therapy and anticoagulant therapy. Antiplatelet therapy consists of aspirin and a P2Y12 inhibitor, such as clopidogrel or ticagrelor, and anticoagulant therapy consists of heparin or bivalirudin. For patients undergoing fibrinolytic therapy, adjunctive antiplatelet and anticoagulant therapies are recommended, as well as assessment of reperfusion after fibrinolysis. For patients undergoing delayed PCI after fibrinolytic therapy, antiplatelet and anticoagulant therapies are recommended.