Pathology of Intercalated Discs in Friedreich Cardiomyopathy.

نویسندگان

  • R Liane Ramirez
  • Alyssa B Becker
  • Joseph E Mazurkiewicz
  • Paul J Feustel
  • Benjamin B Gelman
  • Arnulf H Koeppen
چکیده

in patients with subdural hematomas (4 of 48 patients; 8.3%) and consisted of significant increase in subdural hemorrhage with clinical deterioration; no rehemorrhages occurred in other types of intracranial hemorrhage (0 of 61 patients; 0%) (p 1⁄4 0.04). No rehemorrhages occurred in the 32 patients who had neurosurgical intervention for their initial hemorrhage, compared to 4 recurrent hemorrhages in the 77 patients without neurosurgical intervention, but this difference was not significant (p 1⁄4 0.32). All rehemorrhage events occurred during anticoagulation resumption after #7 days of anticoagulation interruption, while less than one-half of the thrombotic events occurred during an anticoagulation interruption of #7 days (Figure 1). Both thrombotic and rehemorrhage events are relatively uncommon when anticoagulation is interrupted in mechanical heart valve patients with intracranial hemorrhage. While clinical decisions regarding anticoagulation interruption must be tailored to an individual patient’s clinical situation, a general strategy of interrupting anticoagulation for 7 to 10 days may minimize the risk of both thrombotic and rehemorrhage events. Mechanical heart valve patients with subdural hematoma may be a group with a higher risk of recurrent hemorrhage.

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عنوان ژورنال:
  • Journal of the American College of Cardiology

دوره 66 15  شماره 

صفحات  -

تاریخ انتشار 2015