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In people with atrial fibrillation receiving antithrombotics, short-term non-steroidal anti-inflammatory drug exposure increases risk of serious bleeding
Commentary on: Lamberts M, Lip GYH, Hansen ML, et al. Relation of non-steroidal anti-inflammatory drugs to serious bleeding and thromboembolism risk in patients with atrial fibrillation receiving antithrombotic therapy Ann Intern Med 2014;161:690–8. Implications for practice and research Short courses of non-steroidal anti-inflammatory drugs (NSAIDs) should be used with caution in patients with atrial fibrillation (AF) already taking antithrombotic therapy for stroke prevention since there is an increased risk of serious bleeding and clot formation. Research needs to be carried out on whether combined NSAID and non-v...
Source: Evidence-Based Nursing - December 15, 2015 Category: Nursing Authors: Myat, A. Tags: GI bleeding, Adult nursing, Drugs: cardiovascular system, Pain (neurology), Stroke, Ischaemic heart disease, Pain (palliative care), Pain (anaesthesia), Drugs: musculoskeletal and joint diseases, Arrhythmias Source Type: research

Fasting may not be required before percutaneous coronary intervention
Commentary on: Hamid T, Aleem Q, Lau Y, et al.. Pre-procedural fasting for coronary interventions: is it time to change practice? Heart 2014;100:658–61. Implications for practice and research The results of this study suggest that percutaneous coronary intervention (PCI) can be safely conducted without preprocedural fasting. Revision is needed of current fasting protocols. The findings of Hamid and colleagues must be confirmed by further randomised trials. Context PCI is currently performed in hospitals around the world. This procedure is generally conducted with light sedation and local anaesthesia. Patients are rou...
Source: Evidence-Based Nursing - March 19, 2015 Category: Nursing Authors: de Aguilar-Nascimento, J. E., Feguri, G. R. Tags: Adult nursing, Pneumonia (infectious disease), TB and other respiratory infections, Stroke, Diet, Interventional cardiology, Ischaemic heart disease, Cardiothoracic surgery, Vascular surgery Source Type: research