ANGINA-ANTICOAGULATION

SUMMARY

1. There is a high probability of coronary thrombus formation with unstable angina, so always use either IV heparin or subcutaneous low-molecular-weight heparin (LMWH) if there are no contraindications.

2. Concomittant therapy - Aspirin daily for life, Clopidogrel x 1 month and ideally up to a year (particularly if a stent is placed).

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].