Hawki63 wrote:

Subject: clinton surgery question
From: "Dr. Andrew B. Chung, MD/PhD"
Date: 9/11/2004 6:32 AM Pacific Daylight Time
Message-id:

jeff wrote:

Most likely various powerful anti-platelet medications such as
clopidogrel and/or 2B3A inhibitors (ie Reopro).


Andrew


It is unlikely that a "powerful antiplatlet" med such as the above
would be
used BEFORE a scheduled operative procedure,,since obviously the risk
of
bleeding would be high

They could have been used before the coronary angiogram in
anticipation of possible PTCA/Stent.


These meds are typically used AFTER angioplasty,,stents..

They are sometimes used during acute coronary syndrome (ACS) or
unstable angina in anticipation of possible PTCA/Stent.

CABG or MI to prevent
further clots...they cannot dissolve pre existing clots

That would not have been their purpose.


Perhaps he had a thrombolytic..such at TPA....which can dissolve
preformed clots...

TPA has not been shown to improve outcomes in the setting of either
unstable angina or NSTEMI.


Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/

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