Controversies in Antiplatelet Therapy for the Secondary Prevention of Cardiovascular Events
An Interactive, Live-Streamed Program at the PCR eCourse 2020
Heart disease continues to be the leading cause of mortality in Europe. Despite advances in prevention and therapy, each year cardiovascular disease (CVD) causes over 1.8 million deaths in the European Union (EU). CVD accounts for 45% of all deaths in Europe and 37% of all deaths in the EU, is the main cause of death in men in all but 12 countries of Europe, and is the main cause of death in women in all but two countries. Acute coronary syndromes (ACS) comprise a substantial portion of these grim statistics, and better care for ACS patients could improve clinical and economic outcomes in the EU. While evidence-based society guidelines recommend aggressive dual antiplatelet therapy (DAPT) for such patients, contemporary practice data on both sides of the Atlantic indicate that DAPT is underutilized both early after an index MI and for evidence-grounded durations of therapy. In addition, in 2019 new data were published that demand re-evaluation of oral antiplatelet drug choice and of the role of long-term aspirin therapy in secondary prevention of ACS. Education of all stakeholders in ACS/MI care—particularly interventional cardiologists—about the guidelines and their basis, and about improving practice to reflect recommendations for care, especially around DAPT, can improve outcomes in ACS.
- Overview of Controversies in Secondary Prevention of ACS
- The Foundational Role of Antiplatelet Therapy in Secondary Prevention of ACS
- Risk Stratification for Secondary Ischemia vs Bleeding Complications with Antiplatelet Therapy
- Is the Acetylsalicylic Acid Component of DAPT Required for the Duration?
- What is the Clinical Impact of Antiplatelet Agent Choice in Secondary Prevention? An Analysis of ISAR-REACT 5
- Interactive Panel Discussion and Virtual Question and Answers
- Describe the latest evidence-based guideline recommendations for secondary prevention of ACS/MI
- Review the foundational role of antiplatelet therapy in secondary prevention of ACS/MI and manage their patients accordingly, with appropriate attention to risk benefit balance
- Discuss the pertinent findings of recent trials of anti-platelet therapy in ACS, placing them in the context of prior data, established practice, and current guidelines
Charles V. Pollack Jr., MA, MD
Department of Emergency Medicine
University of Mississippi School of Medicine
Tobias Geisler, MD, MHBA, FESC
Consultant/Vice Head of Department
Department of Cardiology and Angiology
Philippe Gabriel Steg, MD
Professor of Cardiology
Robert Storey BSc, BM, DM
Professor of Cardiology
Department of Infection, Immunity & Cardiovascular Disease
University of Sheffield
Sheffield, United Kingdom
Uwe Zeymer, MD
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Credit Designation Statements
AcademicCME designates this live material for a maximum of 1.0 AMA PRA Category 1 Credit™. This program will be accredited by the European Accreditation Council for Continuing Medical Education (EACCME®) for 1.0 European CME credit (ECMEC®). AcademicCME designates this live material for a maximum of 1.0 CNE contact hour (Provider # P0491). Clinicians should claim only the credit commensurate with the extent of their participation in the activity.
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This activity has been supported by an independent educational grant from AstraZeneca Pharmaceuticals
Further information regarding how to tune in to this virtual event will be emailed to the address used to register prior to the event. There is no fee associated with this activity.
This symposium is part of the PCR eCourse 2020. For more information on their virtual meeting, please visit: https://www.pcronline.com/Courses/EuroPCR
Provided by AcademicCME