Decreased MI mortality; Aspirin alone or Aspiring and Clopidogrel - USMLE Forums
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Old 05-09-2012
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Heart Decreased MI mortality; Aspirin alone or Aspiring and Clopidogrel

so there was this question in Kaplan CK qbank

basically a patient with NSTEMI.
and the question was what wud decrease mortality most?
among various options there was
a- Aspirin
b- Aspirin + clopidogrel.

answer i picked--- B
answer correct -- A


ok so i get why A is correct... but i remember reading in MTB-2 somewhere that when given aspirin and clopidogrel both ... choose that answer choice...
I know it was in the CVS section.. but i cannot find it in my book now for some reason (amongst all the colorful highlights)

does someone remember what that was for?
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Old 05-09-2012
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I think, after angioplasty.
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Old 05-09-2012
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Here you go
The greatest mortality decrease in this patient
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Old 05-09-2012
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Quote:
Originally Posted by RocketMD View Post
this question didnt hv any interventions as the answer choices..
only drugs.
will put up all the answer choices.
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Old 05-09-2012
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Forget my earlier post.
The MTB does not state clopidogrel as mortality reducing.


It is the GIIB/GIIIa drugs who reduce mortality


*Nevermind my highlights and annotation. I can't erase 'em.
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Old 05-10-2012
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Guys are u sure that clopid doesnt lower mortality ? Then why r we given for
I remember that clopid is used in 3 cases: intolerance to asa, high risk ua/nstemi, post stenting
Gpiib/iiia is used in post stening & high risk pt with ua/nstemi

Am i correct ?
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Old 05-10-2012
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Quote:
Originally Posted by bisho View Post
Guys are u sure that clopid doesnt lower mortality ? Then why r we given for
I remember that clopid is used in 3 cases: intolerance to asa, high risk ua/nstemi, post stenting
Gpiib/iiia is used in post stening & high risk pt with ua/nstemi

Am i correct ?

-dr.ficher said :it lower mort in stenting pt,as far as i remember.
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Old 05-10-2012
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Default what i found from another thread

The following lower mortality in STEMI:
Aspirin.
Beta Blockers.
TPA.
Angioplasty.
Clopidogrel (DONOT Use Ticlopidine associated with TTP & neutropenia)
Statin if LDL is high.
ACE if EF is low.
Among all the therapies, the most significant mortality benefits have come form the use of Aspirin because it decreases the incidence of Acute MI. So all patients of ischemic heart disease are put on aspirin (if contraindicated Clopidogrel). i think he meant if intolerance

mortality benefits in CHF/STEMI

so the final point about what lower mortality the most
ASA & if can't used due to bleeding Angio
and if intolerance to ASA would be Clopid (not anigo ?)
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