Antithrombotic Strategies in Perioperative Period

Authors

  • Md Nazmul Hasan Department of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • Md Abu Siddique Department of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • Sajal Krishna Banerjee Department of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • Syed Ali Ahsan Department of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • AKM Fazlur Rahman Department of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • Choudhury Meshkat Ahmed Department of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • Mohammad Faisal Ibn Kabir Department of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • Md Harisul Hoque Department of Cardiology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka

DOI:

https://doi.org/10.3329/uhj.v9i1.19511

Keywords:

Antithrombotic drugs, Perioperative period, Strategy

Abstract

Antithrombotic therapy (Warfarin, Aspirin,Clopidogrel etc.) are routinely used in prevention and treatment of various cardiovascular diseases. In patients who are having a surgical or other invasive procedure, interruption of antithrombotic therapy is typically required to minimize the risk for perioperative bleeding. It involves balancing the risk of periprocedural bleeding with continued treatment against the thrombotic risk with suspension of treatment and use of bridging anticoagulation therapy. The need for bridging is driven by patients estimated risk for thromboembolism and the bleeding risk of invasive procedure. Treatment with subcutaneous low-molecular- weight heparin or intravenous unfractionated heparin at a therapeutic dose before and after the procedure recommended as bridging anticoagulation therapy.

DOI: http://dx.doi.org/10.3329/uhj.v9i1.19511

University Heart Journal Vol. 9, No. 1, January 2013; 47-51

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Published

2014-07-14

How to Cite

Hasan, M. N., Siddique, M. A., Banerjee, S. K., Ahsan, S. A., Rahman, A. F., Ahmed, C. M., Kabir, M. F. I., & Hoque, M. H. (2014). Antithrombotic Strategies in Perioperative Period. University Heart Journal, 9(1), 47–51. https://doi.org/10.3329/uhj.v9i1.19511

Issue

Section

Review Articles