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A 70-year-old female with chronic stable angina and
3-vessel coronary artery disease is scheduled for elective
CABG. She is currently taking 81 mg of aspirin
each day. She should be instructed to:
a) Discontinue aspirin 7 days prior to surgery.
b) Discontinue aspirin 2 days prior to surgery.
c) Discontinue aspirin 24 hours prior to surgery.
d) Continue taking aspirin up to the time of surgery.
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D
Aspirin should be taken right up to the time of CABG,
because it has been shown to decrease cardiac ischemic
events and reduce postoperative mortality, especially in
those patients with acute coronary syndromes and recent
MIs.
Bybee KA, Powell BD, Valeta U, et al. Preoperative aspirin therapy is associated
with improved postoperative outcomes in patients undergoing coronary
artery bypass grafting. Circulation. 2005;112(9 suppl):I286-I292.
Ferraris VA, Ferraris SP, Moliterno DJ, et al. The Society of Thoracic
Surgeons Practice Guideline Series: Aspirin and Other Antiplatelet Agents
During Operative Coronary Revascularization. Ann Thorac Surg.
2005;79:1454-1461.
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it is very controversial.....is this standard regime DH OR r u reading some research which is not approved yet,,,
i think it is toooo controversial for step2ck
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I dont know how controversial are these qs...but these are board questions
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in fact, it was a Mayo Clinic research published in 2005
was a breakthrough finding at that time.
