Managing gastrointestinal bleeding in patients using antithrombotic agents remains challenging in clinical practice. This review article provides a comprehensive and evidence-based approach to managing acute antithrombotic-related gastrointestinal bleeding, focusing on the triage of patients, appropriate resuscitation, and timely endoscopy. The latest clinical practice guidelines are highlighted to guide decisions concerning the use of reversal agents, temporary interruption, and resumption of antithrombotic drugs. Additionally, preventive measures are discussed to lower the risk of future bleeding and minimize complications among patients prescribed antithrombotic drugs.
Keyphrases
- atrial fibrillation
- end stage renal disease
- chronic kidney disease
- ejection fraction
- newly diagnosed
- emergency department
- liver failure
- clinical practice
- prognostic factors
- peritoneal dialysis
- drug induced
- venous thromboembolism
- respiratory failure
- risk factors
- patient reported outcomes
- intensive care unit
- septic shock