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Research

Dual antithrombotic therapy and gastroprotection in atrial fibrillation: an observational primary care study

Charis Xuan Xie, John Robson, Crystal Williams, Chris Carvalho, Stuart Rison and Zahra Raisi-Estabragh
BJGP Open 2022; 6 (4): BJGPO.2022.0048. DOI: https://doi.org/10.3399/BJGPO.2022.0048
Charis Xuan Xie
1 Wolfson Institute of Population Health, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
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  • ORCID record for Charis Xuan Xie
John Robson
2 North East London Integrated Care System, Unex Tower, London, UK
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Crystal Williams
2 North East London Integrated Care System, Unex Tower, London, UK
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Chris Carvalho
1 Wolfson Institute of Population Health, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
2 North East London Integrated Care System, Unex Tower, London, UK
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Stuart Rison
1 Wolfson Institute of Population Health, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK
2 North East London Integrated Care System, Unex Tower, London, UK
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Zahra Raisi-Estabragh
3 Barts Heart Centre, St Bartholomew’s Hospital, Barts Health NHS Trust, London, UK
4 William Harvey Research Institute, National Institute for Health and Care Research Barts Biomedical Research Centre, Queen Mary University London, London, UK
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  • For correspondence: zahraraisi@doctors.org.uk
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  • RE: Dual antithrombotic therapy and gastro protection
    John Sharvill
    Published on: 01 November 2022
  • Published on: (1 November 2022)
    Page navigation anchor for RE: Dual antithrombotic therapy and gastro protection
    RE: Dual antithrombotic therapy and gastro protection
    • John Sharvill, GP, NHS

    The authors do state that individual notes were not accessed for this study but having been a Cardiology GPSI and now working as a locum, I find that one problem is information flow downwards from the hospital sector especially informing 'patients' about duration of therapy. This is compounded by the way the whole NHS is so rushed that if someone on an antiplatelet is seen in A&E with new AF, they may be started on anticoagulants without anyone joining the dots and stopping the aspirin. The ESC has been clear for some time about the risks and the protocols, but I am not sure this percolates downwards. Can the authors also comment what their views are (and the evidence, if there) of the need for PPI for those on anticoagulants alone as we increasingly realise that PPI are not risk-free drugs.

    Competing Interests: None declared.
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Dual antithrombotic therapy and gastroprotection in atrial fibrillation: an observational primary care study
Charis Xuan Xie, John Robson, Crystal Williams, Chris Carvalho, Stuart Rison, Zahra Raisi-Estabragh
BJGP Open 2022; 6 (4): BJGPO.2022.0048. DOI: 10.3399/BJGPO.2022.0048

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Dual antithrombotic therapy and gastroprotection in atrial fibrillation: an observational primary care study
Charis Xuan Xie, John Robson, Crystal Williams, Chris Carvalho, Stuart Rison, Zahra Raisi-Estabragh
BJGP Open 2022; 6 (4): BJGPO.2022.0048. DOI: 10.3399/BJGPO.2022.0048
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Keywords

  • dual antithrombin therapy
  • anticoagulation
  • antiplatelets
  • atrial fibrillation
  • cardiovascular diseases
  • gastroprotection
  • bleeding risk
  • population health

More in this TOC Section

  • Incorporating FRAX® into a nurse-delivered integrated care review: a multi-method qualitative study
  • Joint and soft tissue injections in Irish primary care: a survey of general practitioners’ attitudes and practices
  • Pattern of oral anticoagulants prescribing for atrial fibrillation in general practice: a study based on routine practice data from general practices in the Netherlands
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