Pharmacy Grand Rounds 
Wait a Second! Aspirin for Secondary Prevention in Patients with CAD and Atrial Fibrillation

• ACPE Universal Activity Number (UAN): JA0000238-0000-21-004-L01-P
• Session Type: Knowledge-based
• CE Credits: A maximum of 0.75 contact hour (0.075 CEU) for the following: 
  • AAPA Category 1 CME Credits
  • ACPE
  • AMA PRA Category 1 Credits™
  • ANCC

• Session Fee: Free for Mayo Clinic staff

SESSION LOCATIONS

Live Session: (11:00am - 11:45am CST) 

Until further notice, learners must watch Pharmacy Grand Rounds live via the web by going to the Video Exchange and selecting “Pharmacy Grand Rounds” in the “Streaming Now” section.

Participants may attend by viewing: Live Webcast
Video Recording - access two weeks after session date

COURSE DESCRIPTION

Historically, aspirin has been a cornerstone agent for both primary and secondary prevention of cardiovascular diseases, although recent evidence has highlighted that perhaps aspirin has less utility in primary prevention than once thought. However, there remains a lack of current literature on the long-term use of aspirin for secondary prevention. This presentation will focus specifically on long-term antiplatelet use for secondary prevention of coronary artery disease (CAD) in patients who are also receiving anticoagulation treatment for atrial fibrillation. While various guidelines make recommendations for antiplatelet discontinuation, there is a gap in evidence and clinical practice often varies.

LEARNING OBJECTIVES
At the conclusion of this knowledge-based CE session, participants should be able to:

• Outline the guideline recommendations for duration of antiplatelet therapy in acute coronary syndrome in patients using anticoagulation for atrial fibrillation
• Review recent literature examining antiplatelet therapy in patients with atrial fibrillation and stable coronary artery disease
• Discuss the balance of risks and benefits of antiplatelet and anticoagulant agents in these patients

Session Announcement

FACULTY INFORMATION

Laurel N. Lake, PharmD
PGY2 Ambulatory Care Pharmacy Resident
Mayo Clinic - Rochester, MN

Laurel earned a Doctor of Pharmacy degree at the University of Wyoming in Laramie, WY. From there, she completed PGY1 training at the Cheyenne VA Medical Center in Cheyenne, WY and is currently the PGY2 Ambulatory Care Pharmacy Resident at Mayo Clinic. Dr. Lake’s practice interests include chronic disease state management, polypharmacy, and geriatrics.

DISCLOSURE STATEMENTS
As a provider accredited by Joint Accreditation Interprofessional Continuing Education, Mayo Clinic College of Medicine and Science (Mayo Clinic School of CPD) must ensure balance, independence, objectivity and scientific rigor in its educational activities. Course Director(s), Planning Committee Members, Faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty also will disclose any off label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of these relevant financial relationships will be published in activity materials so those participants in the activity may formulate their own judgments regarding the presentation.

Listed below are individuals with control of the content of this program:

The faculty report the following relationships:

• Laurel Lake, PharmD
  • Declares no financial relationship(s) pertinent to this session
  • Declares off-label use of devices and medications will not be discussed during this presentation

Course Director and Planning Committee Members declare no relevant financial relationship(s) pertinent to this session. 

Members include:

• Jennifer Elmer, DNP, APRM, CCNS, FCCM
• Michael Huckabee, MPAS, PA-C, PhD
• Sarah Jane Kotval, BSW
• Wayne (Nick) Nicholson, MD, PharmD, BCPS
• Garrett Schramm, PharmD, BCPS
• Lee Skrupky, PharmD, BCPS
• Brenda Stellmaker