Interactive Question 10

5/28/2013

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Interactive Question 6

5/28/2013

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Atrial fibrillation (AF)

5/24/2013

. Despite this data, patient preference, bleeding risk and other factors sometimes may make the use …

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References

5/24/2013

grist for the mill. J Am Coll Cardiol. May 20 2008;51(20):1935-1937. 3. Roe M. Treatments … of non-evidence-based clopidogrel use. Am Heart J. May 2008;155(5):904-909. 5. Spertus J, Kettelkamp R,Clifton V … in the CHARISMA trial. J Am Coll Cardiol. May 15 2007;49(19):1982-1988. 28. Chan FK, Ching JY, Hung LC, etal …

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Other clinical issues

5/24/2013

not improve efficacy, they do increase bleeding. Therefore,an aspirin dose between 81 and 162 mg daily may … that patients taking ibuprofen and aspirin together may be at higher risk of cardiovascular events than patients … Therefore, while TTP may occur very rarely in patients taking clopidogrel TTP, this is very rare,and …

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Stroke

5/24/2013

recommended. The exception to this may be patients in high-risk subgroups (i.e., those with a history …, diabetes, or high cholesterol) who may benefit from clopidogrel. The European Stroke Prevention Study 2 …. Clopidogrel may be particularly useful in high-risk stroke patients (bypass surgery, events involving multiple …

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Cardiovascular risk factors but no known vascular disease

5/24/2013

; 95% CI 1.14-1.50).26 Thus, the harms of aspirin may outweigh the benefits for many low-risk primary … prevention (e.g., low-risk diabetes) may derive less benefit than traditionally believed. …

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Recent or remote MI

5/23/2013

were post-hoc (i.e., not pre-planned) and thus may be due to statistical chance. Nevertheless, the use … has been reported to be slightly lower with clopidogrel than with aspirin, but this may be a dose …

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Acute coronary syndromes

5/23/2013

that it binds reversibly rather than irreversibly to P2Y12 platelet receptor,and may thus result in more potent …

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Mentoring in Medicine: Physician to Physician

4/23/2013

In this brief video, MMS physicians discuss what mentoring has meant to them, and the value they derive from mentoring other physicians.

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