Aspirin after Myocardial Infarction in the Elderly
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TO THE EDITOR:
In their article, Krumholz and colleagues [1] stated that aspirin was not prescribed at discharge for 24% of elderly patients who did not have a contraindication to aspirin after they had been hospitalized for acute myocardial infarction. Because daily use of nonsteroidal anti-inflammatory drugs (NSAIDs) is common in this population, and because these drugs (except for nonacetylated agents) have significant antiplatelet activity [2, 3], it may be reasonable and preferable not to add aspirin to the regimen of patients taking other NSAIDs. How many patients in the nonaspirin group were taking NSAIDs regularly?
Bruce L. Ring, MD
The Editors welcome submissions for possible publication in the Letters section. Authors of letters should:
•Include no more than 300 words of text, three authors, and five references
•Type with double-spacing
•Send three copies of the letter, an authors' form signed by all authors, and a cover letter describing any conflicts of interest related to the contents of the letter.
Letters commenting on an Annals article will be considered if they are received within 6 weeks of the time the article was published. Only some of the letters received can be published. Published letters are edited and may be shortened; tables and figures are included only selectively. Authors will be notified that the letter has been received. If the letter is selected for publication, the author will be notified about 3 weeks before the publication date. Unpublished letters cannot be returned.
Annals welcomes electronically submitted letters.
- Copyright ©2004 by the American College of Physicians
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