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Do you always give 325 mg aspirin if not already loaded with antiplatelets prior to the start of every LHC, even just for diagnostics in the absence of ACS?

Would you still aspirin load if patients were on a DOAC that has since been on hold?
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Do you always administer 325 mg aspirin prior to the start of every left heart catheterization, even if it is just for diagnostic purposes and the patient is not presenting with ACS?

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2 Answers
Mednet Member
Mednet MemberInvited Expert
Cardiology · Penn Presbyterian Medical Center
Answered on

Yes. I favor loading almost all patients prior to a LHC even if only diagnostic. That includes those on a DOAC as well. The reason I favor this is in case there was a complication and need for PCI that the patient at least has one anti-platelet in their system.

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Mednet Member
Mednet Member
Cardiology · NYU Langone - New York
Answered on

Most of my patients are undergoing outpatient pre-planned procedures. The majority are already on 81 mg of aspirin and a second antiplatelet. Therefore, giving an additional 325 mg Asprin would probably not be necessary.

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