You review a 60-year-old man who had a drug-eluding stent inserted 6 months ago for ischaemic heart disease.. Delay operation for 6 monthsia

You review a 60-year-old man who had a drug-eluding stent inserted 6 months ago for ischaemic heart disease. His current medication includes aspirin, clopidogrel, atorvastatin, ramipril and bisoprolol. He has developed an inguinal hernia and is keen for surgical repair. The cardiologists plan was to continue clopidogrel for 12 months following stent insertion.
What is the most appropriate course of action?
A.A Stop clopidogrel the day before the operation
B.A Stop clopidogrel 7 days before the operation
C.A Continue clopidogrel as normal
D.A Delay operation for 6 monthsia***
E.A Stop clopidogrel the day before the operation and start lowmolecular weight heparin (prophylaxis dose.
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