Why the study?
The practice of reintroducing anticoagulation after gastrointestinal haemorrhage is important but potentially underused, with changing management and epidemiology over time.
Advances in peptic ulcer bleeding care may enable safer anticoagulation resumption in AF; leaves open optimal restart timing pending RCTs.
Staerk and colleagues’ paper provides support for the important, perhaps underused, practice of reintroducing anticoagulation after a gastrointestinal haemorrhage.1 Some aspects of the paper need to be put into context. The data on antiplatelet agents for atrial fibrillation have little relevance to current practice because the management and epidemiology of gastrointestinal bleeding has changed over the course of the study (1996-2012). Improvements in endoscopic and medical management have …
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Ian Beales (2016) conducted a review in Acute upper gastrointestinal hemorrhage and peptic ulcer bleeding.
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