The Cardiovascular
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Dual Antiplatelet Therapy (DAPT) Score

Dual Antiplatelet Therapy (DAPT) Score
Age
years
Current cigarette smoking
Diabetes mellitus
MI at presentation
Prior PCI or prior MI
Stent diameter <3 mm
Paclitaxel-eluting stent
CHF or LVEF <30%
Saphenous vein graft PCI
Complete the fields above to see the result.

When to use

  • After 12 months of event-free DAPT post-PCI, to decide on extending therapy.

Formula

Age >=75:-2, 65-74:-1; smoking 1; diabetes 1; MI at presentation 1; prior PCI/MI 1; stent <3 mm 1; paclitaxel stent 1; CHF or EF <30% 2; vein graft PCI 2. Range -2 to 10.

Pearls and pitfalls

  • Higher scores favour ischaemic benefit outweighing bleeding harm from continued DAPT.
  • Applies only to patients already tolerant of 12 months of DAPT without event.

References

  1. Yeh RW, et al. JAMA. 2016;315(16):1735-49.