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Dual antiplatelet therapy with aspirin and clopidogrel for acute high risk transient ischaemic attack and minor ischaemic stroke: A clinical practice guideline

  • Kameshwar Prasad
  • , Reed Siemieniuk
  • , Qiukui Hao
  • , Gordon Guyatt
  • , Martin O'Donnell
  • , Lyubov Lytvyn
  • , Anja Fog Heen
  • , Thomas Agoritsas
  • , Per Olav Vandvik
  • , Sankar Prasad Gorthi
  • , Loraine Fisch
  • , Mirza Jusufovic
  • , Jennifer Muller
  • , Brenda Booth
  • , Eleanor Horton
  • , Auxiliadora Fraiz
  • , Jillian Siemieniuk
  • , Awah Cletus Fobuzi
  • , Neelima Katragunta
  • , Bram Rochwerg*
  • *Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

What is the role of dual antiplatelet therapy after high risk transient ischaemic attack or minor stroke? Specifically, does dual antiplatelet therapy with a combination of aspirin and clopidogrel lead to a greater reduction in recurrent stroke and death over the use of aspirin alone when given in the first 24 hours after a high risk transient ischaemic attack or minor ischaemic stroke? An expert panel produced a strong recommendation for initiating dual antiplatelet therapy within 24 hours of the onset of symptoms, and for continuing it for 10-21 days. Current practice is typically to use a single drug.

Original languageEnglish
Article numberk5130
JournalBMJ (Online)
Volume363
DOIs
Publication statusPublished - 01-01-2018

All Science Journal Classification (ASJC) codes

  • General Medicine

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