Guidelines for mono, double and triple antithrombotic therapy

Postgrad Med J. 2021 Nov;97(1153):730-737. doi: 10.1136/postgradmedj-2020-138938. Epub 2021 Jan 13.

Abstract

Guidelines for antithrombotic therapy are complex, especially if a patient has several indications that require antithrombotic therapy. In general, no patient should receive lifelong double or triple antithrombotic therapy. In this overview, we outline the most common indications for mono, double and triple antithrombotic therapy; the preferred antithrombotic therapy and the recommended duration of therapy. Both antiplatelet therapy and therapeutic anticoagulation therapy with vitamin K antagonists or direct oral anticoagulants were included. European guidelines were used or, if no European guidelines were available, the Dutch guidelines were used.

Keywords: anticoagulation; protocols & guidelines.

Publication types

  • Review

MeSH terms

  • Anticoagulants / administration & dosage
  • Anticoagulants / therapeutic use*
  • Atrial Fibrillation / complications
  • Atrial Fibrillation / drug therapy*
  • Coronary Artery Disease / complications
  • Coronary Artery Disease / drug therapy*
  • Fibrinolytic Agents / administration & dosage*
  • Humans
  • Practice Guidelines as Topic*
  • Thromboembolism / prevention & control*
  • Vitamin K / antagonists & inhibitors*

Substances

  • Anticoagulants
  • Fibrinolytic Agents
  • Vitamin K