The Case Against Anticoagulant Therapy

The Case against Anticoagulant Therapy.

I WANT to emphasize that I am not against the use of anticoagulants, fundamentally. My "against" implies opposition to an uncritical use of these drugs. The main purpose of my lecture is to show that we do not yet know enough about the value of anti-coagulant therapy. To begin with, I want to talk about the treatment of myocardial infarctions in the acute stage. Nearly everybody will agree toda...

The Case for Anticoagulant Therapy

PERHAPS it is best to introduce this discussion with a few general statements to clarify the position which we have maintained throughout the past years. We have held that anticoagulant therapy for myocardial infarction does not constitute tlhe ultimate, the comprehensive, or even an entirely satisfactory form of therapy for this condition. If research directed at the prevention or reversal of ...

Improving the quality of care - the case of anticoagulant therapy.

With each year, medical care has more to offer, yet often at higher costs and seldom without increased risk. Hence, it is not surprising that there is an increasing concern about its quality both among patients and professionals. Continuous improvement is required to provide acceptable quality of medical care, which – given the resources available – minimizes the risks and maximizes the benefit...

Bleeding during oral anticoagulant therapy: warning against a greater hazard.

BACKGROUND Bleeding is one of the main concerns in patients undergoing oral anticoagulation therapy. OBJECTIVE To investigate the determinant causes of bleeding in patients undergoing oral anticoagulant therapy. METHODS A total of 360 patients with atrial fibrillation (AF) undergoing oral anticoagulant (ACo) therapy, with a target INR of 2.0-3.5, were followed prospectively for a period of ...

Audit of anticoagulant therapy.