Pharmacist prescribers Linda Bryant and Leanne Te Karu discuss positive polypharmacy for heart failure. Current evidence shows the intensive implementation of four medications offers the greatest benefit to most patients with heart failure, with significant reductions in cardiovascular mortality, heart failure hospitalisations and all-cause mortality
Stopping anticoagulants before medical procedures: No easy ‘recipe’
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In print
Heartbeat
Stopping anticoagulants before medical procedures: No easy ‘recipe’
Wednesday 15 February 2023, 12:30 AM
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[ECG supplied]
Consultant cardiologist Chris Ellis examines the details of withholding anticoagulant medication prior to an invasive procedure, where the risk of bleeding versus thrombosis must be carefully balanced
Key points, Careful judgement is required to determine how long to withhold anticoagulants for perioperative management of patients in atrial fibrillation.
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References
BPACnz and Pharmac. Guidelines for testing and perioperative management of dabigatran and rivaroxaban: for possible use in local management protocols. 2018. bpac.org.nz/2018/bleeding-guidelines.aspx