DAPT score

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]

Synonyms and keywords: Dual Antiplatelet Therapy score

Overview

The DAPT score is a risk score derived from the DAPT (Dual Antiplatelet Therapy) Trial. It is a validated risk assessment tool designed to assess the risk-benefit of the dual antiplatelet therapy following PCI and insertion of a drug-eluting stent.

DAPT Score

The DAPT score is a risk score derived from the DAPT (Dual Antiplatelet Therapy) Trial. It is a validated risk assessment tool designed to assess the risk-benefit of the dual antiplatelet therapy following PCI and insertion of a drug-eluting stent.[1]

DAPT Score Calculator

Shown below is the calculator for DAPT score (check all the boxes that apply):

DAPT Score Calculator
Variable Score
Age ≥ 75 years old -2
65-74 years old -1
< 65 years old 0
Cigarette smoking 1
Diabetes mellitus 1
Prior MI or PCI 1
MI at presentation 1
Paclitaxel-eluting stent 1
Stent diameter < 3 mm 1
CHF or LVEF < 30% 2
Vein graft stent 2
DAPT Score:
Interpretation:

Interpretation

  • Score <2: Higher risk of bleeding and a smaller reduction in ischemia, associated with an unfavorable benefit-to-risk ratio for prolonged DAPT
  • Score ≥2: Smaller risk of bleeding and a greater reduction in ischemia, associated with a favorable benefit-to-risk ratio for prolonged DAPT

See also

References

  1. Yeh, Robert W.; Secemsky, Eric A.; Kereiakes, Dean J.; Normand, Sharon-Lise T.; Gershlick, Anthony H.; Cohen, David J.; Spertus, John A.; Steg, Philippe Gabriel; Cutlip, Donald E.; Rinaldi, Michael J.; Camenzind, Edoardo; Wijns, William; Apruzzese, Patricia K.; Song, Yang; Massaro, Joseph M.; Mauri, Laura (2016). "Development and Validation of a Prediction Rule for Benefit and Harm of Dual Antiplatelet Therapy Beyond 1 Year After Percutaneous Coronary Intervention". JAMA. 315 (16): 1735. doi:10.1001/jama.2016.3775. ISSN 0098-7484.