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. 2021 Jul 15;117(1):181–264. [Article in Portuguese] doi: 10.36660/abc.20210180
Duration of dual antithrombotic therapy in patients with NSTE-ACS in sinus rhythm - Summary of recommendations and evidence
After NSTE-ACS, DAPT should be continued for 12 months, regardless of the clinical strategy (angioplasty, myocardial revascularization surgery, or clinical treatment). I A
In patients with NSTE-ACS and increased risk of bleeding, DAPT should be continued for only 6 months, with the P2Y12 inhibitor suspended after this period, regardless of the clinical strategy (angioplasty, coronary artery bypass surgery, or clinical treatment) IIa B
In NSTE-ACS patients undergoing PCI, DAPT may be considered for 3 months, followed by P2Y12 inhibitor monotherapy (preferably ticagrelor). lla A
Associate a second antithrombotic medication (see table below) with ASA after 12 months of DAPT in patients with a high ischemic risk and a low risk of bleeding. IIa A