PMID- 28776172 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1092-8464 (Print) IS - 1092-8464 (Linking) VI - 19 IP - 8 DP - 2017 Aug TI - Optimization of Antiplatelet Therapy in STEMI. PG - 65 LID - 10.1007/s11936-017-0562-2 [doi] AB - Antiplatelet therapy is an essential component of ST elevation myocardial infarction (STEMI) management. Dual antiplatelet therapy (DAPT) with aspirin and clopidogrel has previously been the standard of care for STEMI management, but the advent of newer, more potent P2Y12 inhibitors has expanded the options for the management of STEMI. As compared with clopidogrel, these newer P2Y12 agents-such as prasugrel and ticagrelor-allow for further reductions in ischemic end points, without the robust increases in bleeding seen in previous studies of antithrombotic therapies. Understanding the nuances of these newer agents allows optimization of therapy for the individual patient and circumstance. Ultimately, combining these newer therapies, in specific populations, and specific approaches-alternative access strategies (e.g., radial)-may allow us to maximize efficacy and reduce the risk of antiplatelet therapies in treating patients with STEMI. FAU - Sinha, Abhishek AU - Sinha A AD - Cardiovascular Consultants Medical Group, Encino, CA, USA. FAU - Agrawal, Kush AU - Agrawal K AD - Central Arizona Heart Specialists, Chandler, AZ, USA. FAU - Sakhuja, Rahul AU - Sakhuja R AD - Cardiovascular Division, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA. rsakhuja@partners.org. LA - eng PT - Journal Article PT - Review PL - United States TA - Curr Treat Options Cardiovasc Med JT - Current treatment options in cardiovascular medicine JID - 9815942 OTO - NOTNLM OT - Antiplatelet therapy OT - DAPT OT - P2Y12 inhibitors OT - STEMI EDAT- 2017/08/05 06:00 MHDA- 2017/08/05 06:01 CRDT- 2017/08/05 06:00 PHST- 2017/08/05 06:00 [entrez] PHST- 2017/08/05 06:00 [pubmed] PHST- 2017/08/05 06:01 [medline] AID - 10.1007/s11936-017-0562-2 [pii] AID - 10.1007/s11936-017-0562-2 [doi] PST - ppublish SO - Curr Treat Options Cardiovasc Med. 2017 Aug;19(8):65. doi: 10.1007/s11936-017-0562-2.