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Low-Dose Aspirin for Preventing Recurrent Venous Thromboembolism
Ist Teil von
The New England journal of medicine, 2012-11, Vol.367 (21), p.1979-1987
Ort / Verlag
Waltham, MA: Massachusetts Medical Society
Erscheinungsjahr
2012
Quelle
MEDLINE
Beschreibungen/Notizen
Low-Dose Aspirin and Recurrent Thromboembolism
Results from the ASPIRE trial add evidence supporting the use of low-dose daily aspirin for preventing recurrent venous thromboembolism in patients who have had an initial unprovoked clotting episode.
Patients who have had a first episode of unprovoked venous thromboembolism are at high risk for recurrence after anticoagulant therapy is discontinued.
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Long-term treatment with a vitamin K antagonist is very effective in preventing a recurrence of venous thromboembolism while treatment continues
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but has not been shown to improve survival, is associated with a substantially increased risk of bleeding, and is inconvenient for patients.
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Consequently, many patients who have had a first episode of unprovoked venous thromboembolism discontinue anticoagulant therapy after 3 to 6 months despite recommendations to prolong therapy.
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Low-dose aspirin is a simple, inexpensive, and widely . . .