Thursday, 31 January 2019 13:50

Anticoagulation news items. Week commencing 28th January 2019

2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation

Circulation

This guideline updates the recommendations on anticoagulation, catheter ablation of atrial fibrillation (AF), management of AF complicating acute coronary syndrome, and includes new recommendations on device detection of AF and weight loss.

 

NIHR Signal: Warfarin and newer anticoagulants equally effective for long-term treatment of blood clots

National Institute for Health Research Signal

Expert commentary is provided for a review of 16 RCTs (n=22,396) which found that all oral anticoagulants regimens reduce the risk of recurrent VTE vs placebo. Ideal regimens for those at higher risk (e.g. thrombophilia), and >1 year treatment still require further investigation.

 

Additional GI bleeding risk with SSRIs in people with declining kidney function: DTB Select

Drug and Therapeutics Bulletin
Summary and context is provided for a cohort study which reported an increased risk of GI bleeding with SSRIs in patients with CKD. Clinicians are advised to review the risks and benefits of SSRIs in this population and consider the need for gastroprotection.

 

 

The above records have been identified by UKMi and feature in the NICE Medicines Awareness Service. Further details on this service can be found at:

http://www.evidence.nhs.uk/about-evidence-services/content-and-sources/medicines-information/new-medicines-awareness-services