How to bridge? Management of anticoagulation in patients with mechanical heart valves undergoing noncardiac surgical procedures

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Anticoagulation 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...

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Anticoagulation 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...

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Physician preferences for perioperative anticoagulation in patients with a mechanical heart valve who are undergoing elective noncardiac surgery.

STUDY OBJECTIVE To determine physicians' anticoagulation preferences in patients with a mechanical heart valve who are undergoing elective surgery, and to determine the effect of different risks of thromboembolism (TE) and postoperative bleeding on anticoagulation preferences. DESIGN Mail survey of physicians who prescribe anticoagulant therapy. METHODS AND RESULTS Physicians were asked to ...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 2019

ISSN: 0022-5223

DOI: 10.1016/j.jtcvs.2018.06.089