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The article by Srihari and Lee is a great example of real time
decision making in difficult situations. Their comprehensive literature
trall on emboli and clozapine, and then with atypicals and typicals
yielded a workable algorithm to decision making. I would broaden the
thinking and generalise to atypicals and thromboembolic/genic phenomena
throughout the cardiovascular system. The relatively recent black box
warning for atypicals in erlderly demented patients due to accelerated
risk of death begs the question whether this is also thrombogenic in
aetiology. Should anyone taking antipsychotic medication have safety
features built in for example should they take salicylate/warfarin/other ?