Korean J Med.
2022 Aug;97(4):204-228. 10.3904/kjm.2022.97.4.204.
Consensus Document on Perioperative Antithrombotic Management: Part 2. Case Study
- Affiliations
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- 1Division of Cardiology, Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Gyeongsang National University School of Medicine, Changwon, Korea
- 2Department of Cardiology, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, Korea
- 3Department of Cardiology, Chosun University Hospital, Chosun University College of Medicine, Gwangju, Korea
- 4Department of Cardiology, CHA Bundang Medical Center, CHA University, Seongnam, Korea
- 5Department of Cardiology, Cardiovascular Center, Korea University Anam Hospital, Korea Universty College of Medicine, Seoul, Korea
- 6Department of Cardiology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea
- 7Division of Cardiology, Department of Internal Medicine, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea
- 8Division of Cardiology, Department of Internal Medicine, Wonju Severance Christian Hospital, Yeonsei University College of Medicine, Wonju, Korea
- 9Division of Gastroenterology, Department of Internal Medicine, Wonju Severance Christian Hospital, Yeonsei University College of Medicine, Wonju, Korea
- 10Department of Cardiology, Severance Hospital, Yeonsei University College of Medicine, Seoul, Korea
- 11Department of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
- 12Department of Neurosurgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
- 13Division of Cardiology, Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
- 14Division of Cardiology, Department of Internal Medicine, Samsung Seoul Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
- 15Division of Cardiology, Department of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea
- 16Division of Cardiovascular, Department of Internal Medicine, Kyung Hee University Hospital, College of Medicine, Kyung Hee University, Seoul, Korea
- 17Department of Cardiology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea
- KMID: 2532477
- DOI: http://doi.org/10.3904/kjm.2022.97.4.204
Abstract
- Given the progressive improvements in antithrombotic strategies, management of cardiovascular disease has become sophisticated/refined. However, the optimal perioperative management of antithrombotic therapy in patients with acute coronary syndrome or who are scheduled for percutaneous coronary intervention remains unclear. Assessments of the thrombotic and hemorrhagic risks are essential to reduce the rates of mortality and major cardiac events. However, the existing guidelines do not mention these topics. This case-based consensus document deals with common clinical scenarios and offers evidence-based guidelines for individualized perioperative management of antithrombotic therapy in the real world.
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