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IBCC Episode 126 - Myocardial Ischemia

The Internet Book of Critical Care Podcast

CHAPTER

Do I Need Dual Antiplatelets for Patients With MI?

The evidentiary basis for Hepburn in microcardial infarction is actually surprisingly poor. The whole like 48 hour Hepburn infusion thing has actually been studied and not shown to be beneficial. There's really no good evidence that putting a patient on Hepburn will be beneficial. If you're going to use it, clopidogrel typically a loading dose between 300, 600 milligrams or just 75,. if they're real old and then 75 daily for maintenance.

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