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Which anti-platelet medication and dose confers the greatest degree of platelet inhibition?

User Madasionka
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Final answer:

The greatest degree of platelet inhibition typically comes from dual antiplatelet therapy (DAPT) with clopidogrel plus aspirin, especially in patients with a STEMI. Aspirin alone is also effective but must be tailored to the patient's risk factors for coronary artery disease and potential side effects. Individualized patient care is essential in determining the appropriate medication and dosage.

Step-by-step explanation:

The degree of platelet inhibition conferred by anti-platelet medication can vary depending on the specific drug and dosage used. Dual antiplatelet therapy (DAPT), which generally consists of clopidogrel plus aspirin, is known to reduce cardiovascular events in patients with a STEMI (ST-elevation myocardial infarction) more effectively than aspirin alone. For those who have had a stent placed, using clopidogrel along with aspirin for more than 12 months does not change the risk of death.

Aspirin, also known as acetylsalicylic acid, has a significant role as an anticoagulant and is recognized for its efficacy in reducing the aggregation of platelets. It is commonly prescribed during a heart attack or stroke to lessen adverse effects. Additionally, a low dose of aspirin is sometimes recommended on a daily basis for patients at risk for cardiovascular disease as a preventive measure.

However, the most potent effect on platelet inhibition will depend on individual factors such as a patient's medical history, the presence of risk factors for coronary artery disease, and potential adverse effects such as increased risk of ulcers or bleeding complications associated with long-term aspirin use.

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