New guidelines on GI prophylaxis

By  |  December 15, 2008 | 

In a combined statement from the AHA, ACC, and ACG, they have recommended expanding use of PPI’s in patients on antiplatelet or NSAID agents at risk for GI bleeding (guidelines). In patients who need an antiplatelet agent, they should be prescribed a PPI if they are at risk for GI bleeding (history of GI bleed or PUD, need for 2 or more antiplatelets, or concomitant anti-coagulation). Additionally, those starting anti-platelet therapy monotherapy with >1 risk factor (age>60, steroids, dyspepsia or GERD ) should also be started on a PPI. Also, in those with a history of PUD, Hyplori testing (and treatment) should be done before starting antiplatelet therapy. All of this is summarized in the following figure (figure)

Leave A Comment

About the Author: Danielle Scheurer

Danielle Scheurer
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.


Related Posts

By  | June 18, 2018 |  0
Fill in the Blanks: Q: “The diagnosis of type 2 MI is associated with a _____ prognosis.  ___% of patients will live five years after their diagnosis.” The answer is a) POOR and b) a staggering 40%. I did not know that. However, what I am aware of is the ambiguity around Type 2 MIs and […]
By  | July 5, 2016 |  0
What comes to mind when you think of getting CME? I bet most of you would say sitting in an auditorium, whether that be during your local grand rounds or at our professional society meeting, like Hospital Medicine 16 in sunny San Diego this past March. Hanging out in the Twitterverse? Probably not so much… […]
By  | December 3, 2013 |  1
As a nurse practitioner in hospital medicine I have multiple opportunities to interact with all sorts of physician hospitalist colleagues, hospital medicine group leaders, quality officers etc.  Often their interactions with me take on a certain wary curiosity, like I am some exotic monkey or another creature that is unfamiliar to them.  If I am […]