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Multimodal analgesia to reduce NSAID induced myocardial Infarction
  1. Leigh White,
  2. Gun Hee An,
  3. Ruan Vlok
  1. Department of Anaesthetics, Sunshine Coast University Hospital, Birtinya, Queensland, Australia
  1. Correspondence to Dr Gun Hee An, Sunshine Coast University Hospital, Brisbane, Queensland 4000, Australia; gunheean{at}

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We read with great interest the extended report by Dubreuil et al on ‘Risk of myocardial infarction with use of selected non-steroidal anti-inflammatory drugs in patients with spondyloarthritis and osteoarthritis’.1 This study raises interesting point that the use of certain non-steroidal anti-inflammatory drugs (NSAIDs) such as diclofenac increases the risk of myocardial infarction (MI) in patients with spondyloarthritis by twofold to threefold.

The treatment goal for patients with ankylosing spondylitis should be to maximise quality of …

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