Antiplatelet: Perbedaan antara revisi

== Pemilihan ==

Obat antiplatelet adalah salah satu rekomendasi utama untuk pengobatan [[penyakit jantung koroner]] stabil dan tidak stabil.<ref name=":3">{{cite journal | vauthors = Fihn SD, Gardin JM, Abrams J, Berra K, Blankenship JC, Dallas AP, Douglas PS, Foody JM, Gerber TC, Hinderliter AL, King SB, Kligfield PD, Krumholz HM, Kwong RY, Lim MJ, Linderbaum JA, Mack MJ, Munger MA, Prager RL, Sabik JF, Shaw LJ, Sikkema JD, Smith CR, Smith SC, Spertus JA, Williams SV, Anderson JL | display-authors = 6 | title = 2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart diseasem | collaboration = American College of Cardiology Foundation/American Heart Association task force on practice guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons | journal = Circulation | volume = 126 | issue = 25 | pages = e354–e471 | date = December 2012 | pmid = 23166211 | doi = 10.1161/CIR.0b013e318277d6a0 | doi-access = free }}</ref><ref name=":4">{{cite journal | vauthors = Wright RS, Anderson JL, Adams CD, Bridges CR, Casey DE, Ettinger SM, Fesmire FM, Ganiats TG, Jneid H, Lincoff AM, Peterson ED, Philippides GJ, Theroux P, Wenger NK, Zidar JP, Anderson JL, Adams CD, Antman EM, Bridges CR, Califf RM, Casey DE, Chavey WE, Fesmire FM, Hochman JS, Levin TN, Lincoff AM, Peterson ED, Theroux P, Wenger NK, Wright RS | display-authors = 6 | title = 2011 ACCF/AHA focused update of the Guidelines for the Management of Patients with Unstable Angina/Non-ST-Elevation Myocardial Infarction (updating the 2007 guideline) | collaboration = American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines developed in collaboration with the American College of Emergency Physicians, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons | journal = Journal of the American College of Cardiology | volume = 57 | issue = 19 | pages = 1920–1959 | date = May 2011 | pmid = 21450428 | doi = 10.1016/j.jacc.2011.02.009 | doi-access = free }}</ref> Umumnya, [[aspirin]] digunakan sebagai obat tunggal pada kasus [[angina pektoris]] stabil tanpa komplikasi, dan pada beberapa kasus [[angina pektoris tidak stabil]]. Jika pasien tidak dapat mentoleransi aspirin, penghambat ADP/P2Y dapat digunakan sebagai terapi obat tunggal. Kasus yang lebih parah dan rumit diobati dengan terapi antiplatelet ganda, atau dalam beberapa kasus terapi tiga kali lipat yang mencakup [[antikoagulan]] oral langsung.<ref>{{cite journal | vauthors = Gurbel PA, Fox KA, Tantry US, Ten Cate H, Weitz JI | title = Combination Antiplatelet and Oral Anticoagulant Therapy in Patients With Coronary and Peripheral Artery Disease | journal = Circulation | volume = 139 | issue = 18 | pages = 2170–2185 | date = April 2019 | pmid = 31034291 | doi = 10.1161/CIRCULATIONAHA.118.033580 | s2cid = 207592252 | doi-access = free }}</ref> Dokter harus membuat pilihan yang menyeimbangkan risiko pasien dengan peningkatan risiko perdarahan yang terkait dengan terapi kombinasi.<ref name=":3" /><ref name=":4" />

 

==Referensi==