Stroke guidelines anticoagulation

Common Questions and Answers about Stroke guidelines anticoagulation


Avatar n tn Especially given the seriousness of the risk of embolization which include stroke. The absolute risk of embolization varies among patients. Beacuse of this it is important to risk stratify patients to make decisions about treatment. Coumadin reduces stroke risk by about two to three times with respect to aspirin, but increases the major bleeding rate by about 1.5 times. So if your overall risk of embolization versus bleeding is on the higher side then you should be on coumadin.
Avatar n tn Atrialfibrillation almost always starts in this manner, and then tends to become longer lasting and causing less symptoms. Generally, the guidelines recommend anticoagulation with heparin and coumadin if a fib lasts for more than 48 hours. In patients with structurally normal hearts, and age less than 65 aspirin is usually the manner of anticoagulation chosen.
Avatar f tn Regarding antithrombotic therapy in the setting of atrial fibrillation, the guidelines recommend this for all patients with AF, except those with lone AF or contraindications. The selection of the antithrombotic agent is usually based on the absolute risk of stroke and bleeding and the relative risk and benefit for a given patient. Based on the level of risk, most patients are either started on aspirin or Warfarin (Coumadin).
Avatar n tn Hi Marie, I can understand your concerns. The guidelines say that 3-4 weeks of theurapeutic anticoagulation should be enough to allow for a safe cardioversion. Ask your doctor what they think -- I will sometimes repeat do a TEE to make sure that it is safe, but it is not absolutely necessary. Chemical cardioversion is no safer than electrical cardioversion with a shock. Cardioversion is only necessary if you have symptoms with your atrial fibrillation.
196674 tn?1306505756 Tony, I read that CHADS study. Did you read what was at the bottom of the website? Here is what it says: Precautions in using the CHADS model. "The CHADS model was developed by studying the records of 1733 Medicare beneficiaries aged 65 to 95, and in this age group the model appears very accurate at predicting stroke risk. How well the CHADS model works for younger patients is not entirely clear, however, since the data was gathered for elderly patients.
Avatar m tn Would you recommend closure, anticoagulation, or nothing at this time? Unfortuately, I don't think there strick data driven guidelines that deal with that specific question. You are probably aware that even within the subspecialty of cardiology, there are sub-sub specialties like intervention, imaging, electrophysiology and adult congenital, among others. If I saw a patient like your self in clinic, I would refer them to a sub sub specialist to help with that decision. 2.
Avatar n tn Then you have to decide whether to go back on coumadin until delivery or us IV / subQ (skin injections) of heparin for the remainder of your pregnancy --if the valve thrombosis from inadequate anticoagulation (you must be compliant with coumadin), increased risk of stroke or other serious potentially life threatening problems Bioprosthetic Pros: --no life long anticoagulation unless there is another reason --compatible with pregnancy, although the valve will have a decreased lifespan becaus
Avatar m tn Plus how much do you figure it costs to treat a patient in hospital for a stroke? Once a week I get my INR read by the little machine and call in the results. My Cardiologist gets the results THAT DAY. Almost real-time adjustments. Home INR testing is not for everyone. Here are some guidelines I found on the web: a good candidate for home INRtesting/monitoring would meet most of the following criteria: Is a recipient of a mechanical heart valve.
Avatar n tn A decrease in EF can result from heart muscle damage and/or mitral valve regurgitation as some blood is lost to the backflow of blood (regurgitation) and less blood gets into circulation with each stroke. This stresses the heart to work harder and the result can be an enlarged left ventricle that weakens contractions. Minimally invasive approach is becoming the standard approach. Currently, for all mitral valve surgeries, this is the favored approach for everyone, .
Avatar n tn The Practice of Clinical Echocardiography, Chapter 17 is written and greatly referenced by Drs.Donovan and Starling. This chapter includes Guidelines in the decision making for those patients with Aortic or mitral regurgitation. The book is copyrighted in 1997 and the only article written since then is by an author named Dr.Bonow who is widely known for his research in this area.
Avatar n tn My dissection resulted in a stroke and my artery is closed forever. You were lucky! My stroke doc says he sees many dissections in people doing less than what I was doing. Like you, my headache started within a couple of hours of me completing the race. Looking back, I feel that was an indicator that something was not right. As far as exercise goes, no running again. I spin now with a heart rate monitor. I don't let my heart rate go above 150. Have you considered that vs checking bp?