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Oral antiplatelet therapy prescribed (CAD)

CPT4 code

Name of the Procedure:

Oral Antiplatelet Therapy for Coronary Artery Disease (CAD)

Summary

Oral Antiplatelet Therapy involves taking medication that helps prevent blood clots from forming. This treatment is often prescribed to patients with coronary artery disease (CAD) to reduce the risk of heart attacks and strokes.

Purpose

Oral Antiplatelet Therapy is used to:

  • Prevent blood clots in patients with CAD.
  • Reduce the risk of heart attacks and strokes.
  • Promote better blood flow through the coronary arteries.

Indications

  • Diagnosed coronary artery disease (CAD).
  • History of heart attack or stroke.
  • High risk of cardiovascular events, as determined by a healthcare provider.

Preparation

  • Inform your doctor about any other medications you are taking.
  • Follow any specific dietary or medication instructions provided by your healthcare team.
  • Undergo any required diagnostic tests like blood work or heart imaging.

Procedure Description

  1. The patient is prescribed an oral antiplatelet medication (e.g., aspirin, clopidogrel).
  2. The patient takes the medication daily as directed.
  3. Regular follow-up appointments with the healthcare provider to monitor effectiveness and adjust dosage if necessary.

Duration

The therapy is ongoing, with regular medical evaluations to assess its effectiveness and adjust the treatment plan.

Setting

  • Typically managed through outpatient visits.

Personnel

  • Primary care physicians or cardiologists prescribe and manage the therapy.
  • Nurses may assist with patient education and follow-up.

Risks and Complications

Common risks:

  • Gastrointestinal upset or bleeding
  • Bruising Rare risks:
  • Severe allergic reactions
  • Increased risk of bleeding in other areas, such as the brain (hemorrhagic stroke)

Benefits

  • Reduced risk of heart attack and stroke.
  • Improved long-term cardiovascular health.

Recovery

  • No significant recovery period; patients can usually continue with their daily activities.
  • Follow doctor's advice on managing any side effects.
  • Regular follow-up visits.

Alternatives

  • Other antithrombotic medications, such as anticoagulants.
  • Lifestyle modifications, including diet and exercise.
  • Surgical options like angioplasty or coronary artery bypass grafting (CABG) in severe cases.

Patient Experience

  • Daily medication intake with regular check-ups.
  • Possible mild side effects like nausea or stomach discomfort.
  • Pain management typically not required since it's a non-invasive treatment.

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