Episode 270: 269. What is the Harm in Aspirin?

Episode 270: 269. What is the Harm in Aspirin?

The trial was terminated after 1015 patients with atrial cardiopathy had been randomized to receive either apixaban or aspirin for a mean follow-up of 1.8 years, recurrent stroke rates were identical (40 events per group; 4.4% annualized rate). There were 7 symptomatic intracranial hemorrhages in the aspirin group and none in the apixaban group, though other major hemorrhages occurred at similar rates

Aspirin is not benign and has real risk--

BTW don't give anticoagulation if the patient does not have atrial fib.

https://jamanetwork.com/journals/jama/article-abstract/2814933

Episoder(385)

102. DOAC and hematuria  plus a listener question

102. DOAC and hematuria plus a listener question

https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2739056 not all guidelines are equal, think for yourself. Some guidelines even do harm when you actually look at the evidence. h...

2 Sep 201928min

101. 3A- Aspirin, Asthma, AntiPlatelet

101. 3A- Aspirin, Asthma, AntiPlatelet

https://www.nejm.org/doi/full/10.1056/NEJMoa1813959 even when we dont know where the stroke is coming from- aspirin is still king all these years later https://www.thelancet.com/journals/lancet/artic...

13 Aug 201921min

100. 3H episode= Hakuna Matata, HIV, and HPV

100. 3H episode= Hakuna Matata, HIV, and HPV

https://www.cdc.gov/mmwr/volumes/68/wr/mm6825a2.htm we are not testing people for HIV even though guidelines https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/human-im...

2 Aug 201925min

Got 99 (episodes) and an IMPORTANT Article Before It's Done

Got 99 (episodes) and an IMPORTANT Article Before It's Done

https://www.ncbi.nlm.nih.gov/pubmed/30608562 A1C level low is not good and high is not good cause both seem to wind up have you the pt. in the hospital for hypoglycemia- the low point of the U curve ...

24 Jul 201918min

98. A New Drug, Sugar Legacy, Statin in the Elderly

98. A New Drug, Sugar Legacy, Statin in the Elderly

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)31942-1/fulltext If you are over 70 or 75 and primary prevention then likely no benefit in statins and secondary benefit is very sm...

12 Jul 201922min

97. Old Women Walking, Energy Drinks, and Antibiotics

97. Old Women Walking, Energy Drinks, and Antibiotics

https://www.ahajournals.org/doi/10.1161/JAHA.118.011318 energy drinks prolong the QT just ever so slightly in healthy 22yr olds so if you are thinking of telling grandma to slam 32ounces of energy d...

27 Jun 201925min

96. Sprinting to Induction of Clopidogrel

96. Sprinting to Induction of Clopidogrel

vitamin d- if you cant give up on it then give up on checking the lab value- fire and forget. https://www.nejm.org/doi/full/10.1056/NEJMoa1800566 induction at 39 weeks is okay with me https://jamane...

14 Jun 201926min

94. New Afib Guidelines, New standard for SK, and Foley cath + UTI

94. New Afib Guidelines, New standard for SK, and Foley cath + UTI

afib- new guidelines! https://www.google.com/search?q=2019+American+Heart+Association%2C+American+College+of+Cardiology+and+the+American+Rhythm+Society+focused+update+from+their+2014+guidelines+for+...

21 Mai 201925min

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