eComment: Anticoagulation for mechanical heart valves: a current assessment
نویسندگان
چکیده
منابع مشابه
eComment: Anticoagulation for mechanical heart valves: a current assessment.
Table 1 Reported cases of well functioning mechanical valve without anticoagulation Reference Mean age n Type of Position Mean follow-up Treatment with Peak (years) valve (n) of valve period without anticoagulation gradient anticoagulation (months) across (years) valve thrombotic prophylaxis are from non-randomized case series without controls w2x. Uncomplicated functioning without anticoagulat...
متن کاملAnticoagulation for Mechanical Heart Valves
Although mechanical heart valves (MHV) are more durable than tissue valves, they are more thrombogenic. Consequently, patients with MHV require long-term anticoagulation with vitamin K antagonists, such as warfarin. Although effective, warfarin has well-known limitations, including multiple drug and food interactions, and the challenges of coagulation monitoring and maintaining the internationa...
متن کاملAnticoagulation of Pregnant Women With Mechanical Heart Valves
T he management of pregnant women with mechanical heart valves is challenging. Recently, based on small numbers of patients and poor-quality data, correspondence from Aventis Pharmaceuticals Inc has described treatment “failures” and concerns about teratogenicity with the use of the low-molecular-weight heparin (LMWH) enoxaparin. The company issued a “Warning” that enoxaparin should not be used...
متن کاملAnticoagulation in patients with mechanical heart valves: follow the guidelines!
year: the lowest in the youngest age group and the highest in the oldest. Intracranial haemorrhage was seen at an unacceptable rate (0.6–0.7/year) in all age groups. Therefore, the authors conclude that the use of mechanical AVR below the age of 60 years is associated with a similar rate of intracranial bleeding as seen in older patients. This report shows the deleterious effect of over-anticoa...
متن کاملAnticoagulation for pregnant women with mechanical heart valves: a systematic review and meta-analysis
Aims To review maternal and foetal outcomes in women with mechanical heart valves (MHVs) treated with vitamin-K antagonists (VKAs), first-trimester heparin followed by VKAs (sequential treatment), low molecular weight heparin (LMWH) and unfractionated heparin (UFH) during pregnancy, in order to inform practice. Methods and results Medline, Embase and Central were searched from inception until...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Interactive CardioVascular and Thoracic Surgery
سال: 2008
ISSN: 1569-9293
DOI: 10.1510/icvts.2008.189357a