LETTER
Aspirin after Myocardial Infarction in the Elderly
Bruce L. Ring, MD
1 December 1996 | Volume 125 Issue 11 | Page 938
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?
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Author and Article Information
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Goddard Medical Associates, PC, Brockton, MA 02401.
1. Krumholz HM, Radford MJ, Ellerbeck EF, Hennen J, Meehan TP, Petrillo M, et al. Aspirin for secondary prevention after acute myocardial infarction in the elderly: prescribed use and outcomes. Ann Intern Med. 1996; 124:292-8.
2. Rajah SM, Nair V, Rees M, Saunders M, Walker D, Williams G, et al. Effects of antiplatelet therapy with indobufen or aspirin—dipyridamole on graft patency one year after coronary artery bypass grafting. J Thorac Cardiovasc Surg. 1994; 10:1146-53.
3. Brochier ML. Evaluation of flurbiprofen for prevention of reinfarction and reocclusion after successful thrombolysis or angioplasty in acute myocardial infarction. The Flurbiprofen French Trial. Eur Heart J. 1993; 14:951-7.
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