Adjustment of Antiplatelet Therapy in Patients With Myocardial Infarction Treated Without Revascularization: A Retrospective Cohort Study.

ABSTRACT:

Background

Although a substantial proportion of patients with myocardial infarction (MI) are treated without revascularization, no randomized controlled trial has evaluated the optimal antiplatelet strategy in this vulnerable population and practice patterns may be heterogeneous. This study aims to describe postdischarge antiplatelet therapy (APT) practice patterns in medically managed patients with MI.

Methods

A retrospective cohort study was conducted at the Montreal Heart Institute (July 31, 2020-July 31, 2023). Patients aged ≥18 years hospitalized for MI and discharged without revascularization were included, and discharge antiplatelet patterns were documented.

Results

A total of 365 patients were included, comprising 156 women (42.7%) (median age: 71.4 years [int

SUBMITTER: Dostie N 

PROVIDER: S-EPMC12277816 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature