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Presentation Outline ICHP Annual Meeting September 13-15

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Which patient might be a candidate for<br />

aspirin for prevention of recurrent VTE?<br />

A. Unprovoked VTE, 6<br />

month of VKA therapy,<br />

low bleed risk<br />

B. Unprovoked VTE, 3<br />

months of VKA therapy,<br />

low bleed risk<br />

C. Provoked VTE, 6 months<br />

of VKA therapy, low<br />

bleed risk<br />

D. Unprovoked VTE, 6<br />

months of VKA therapy,<br />

GI bleed <strong>15</strong> months ago<br />

Media‐Worthy Trial Assessment #2:<br />

AZITHROMYCIN AND THE RISK OF<br />

CARDIOVASCULAR DEATH<br />

N Engl J Med. 2012;366(20):1881-1889.<br />

Azithromycin<br />

• Background<br />

– Macrolide antibiotics have proarrhythmic<br />

potential<br />

• QT prolongation<br />

• Torsades de pointes<br />

• Sudden cardiac death<br />

– Up until recently, findings did not apply to<br />

azithromycin<br />

Clin Infect Dis. 2006;43(12):1603-1611.<br />

8/30/2012<br />

7

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