Warfarin use in heart failure
Common Questions and Answers about Warfarin use in heart failure
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Heart failure is a condition in which the heart’s ability to supply the body with the blood is impaired. It causes a variety of symptoms that worsens gradually, thus interfering with the daily activities.
Despite the deterioration of heart function and the seriousness of the condition, heart failure is not an irreversible condition. It can be treated if the patient provides enough compliance to his medicines.
All who suffer from heart disease have a statistically higher risk of a heart failure than does the general population who do not have heart problems. This is true too as we go into higher age groups, the older one is the more likely they will experience a physical failure of some type or another.
I suffer from AFib myself and know I am at higher risk for additional heart problems, and for stroke even though I take an anticoagulant (Warfarin).
What was the underlying cause of your congested heart failure? What specifically is the cause for a valve replacement? With a very experienced surgeon many valve operations can be done that doesn't include replacement.
Long-term, low-dose treatment with warfarin may prevent clots, but it's not without risk. There's a risk of serious or even fatal bleeding — especially when warfarin is taken in high doses or for long periods of time...
I believe it could be a FATAL mistake if you stopped taking the warfarin. Mechanical valves will clot without warfarin and this could cause a heart attack, stroke or heart failure and could cause you to have to have another open heart surgery. PLEASE ,PLEASE talk to your doctor about any changes in the warfarin.
my mother underwent for the valve replacemet(mitral valve and tissue valve)before two years.suddenly she got blood clot in her leg.she ask to use warfarin to remove the blood clot.now she is getng back to normal.may i knw why was it happened suddenly and will it occur in fucture? will this lead to stroke? doctor saying cox of the heart rhythm problem.
is that occuring cox of her valve?
Right side heart failure results in swelling, water retention in the legs and abdomen. Left side heart failure results in water in the lungs. Your main right artery may be plugged. Doctor can put a stent in the artery, which is considered a procedure and not open heart surgery. If this is the case, you will feel a whole lot better.
Take care and see your doctor.
If medications do not work, then the only options are to try a pacemaker which may keep the hearts rhythm correct, or have catheter ablation where the defective cells interrupting the signal are destroyed. Sometimes it is necessary to use cardioversion (electric shock) to return the heart to a normal rhythm if medication doesn't work.
There are 3 serious medical conditions (right-side heart failure, uncontrolled bleeding, and clots (pulmonary embolism and thrombosis) that requires consideration when prescribing medication. Anticoagulants are effective in preventing pulmonary embolism and deep vein thrombosis, but there is a risk for bleeding.
More than 80 percent of patients with massive PE die within the first two hours after onset, mainly from right-sided heart failure.
My husband has been diagnosed with non-ischemic cardiomyopathy, congestive heart failure, high blood pressure, kidney failure, and his arotic valve doesn't close properly, and he had a defibulator put in about three months ago. He has been on hemodialysis for 9 years. He has just finished 6 weeks of IV antibiotics for an infection that attached to his arotic valve and also in the lining of his heart. Dr.
At this time, there are no warfarin substitutes approved by the FDA for use with mechanical valve patients. There are some anecdotal accounts of the newer anticoagulants' having been used off-label for this, with disastrous results. I think it will be a while before we see a good warfarin replacement for mech valve patients. The newer anticoagulants that are out now are being used for other indications, like atrial fibrillation, deep vein thrombosis, and post-orthopedic surgery.
Well it seems likely the patient has coronary artery disease by the symptoms you describe. Therefore the Digoxin is not necessary is it? it's for treating atrial flutter/fibrillation. Furosemide is for heart failure/edema, Warfarin is an anticoagulant, Lovastatin is a cholesterol lowering medication (statin group), Captopril ace inhibitor to treat hypertension. KCL20 a potassium supplement?
So the patients cholesterol lipids are being lowered by using the statin drug.
The first time, the doctor said she was in kidney failure. They took her off all of her blood thinner, Warfarin, and stated he would not give it to her for fear of her falling and causing internal bleeding. He also took her off of her lasix, because this contributed to kidney failure. He would only release her to a nursing home and would not write an order to resume the blood thinner or the lasix.
I am trying to get some answers regarding the treatment of an elderly male in the UK. He has been diagnosed with heart failure and has a leaky valve and some irregular heart rythums. At the moment he still gets breathless after walking up a few stairs and I'm not happy with this situation. He also has a persistent cough which may be linked to his medication. He does have some water retention in lower legs.
As you know, Ablation has risks of stroke and worse and the risk factor for AFib Ablation is the highest because of the need to access the left side of the heart. It is in the low percentage range, I understand, but enough of a risk that one needs good odds at improvement before undertaking.
I have had a mini-maze done when I was in for open heart surgery. The MSR from that lasted about 30 days.
Jude Masters series aortic valve with attached dacron graft. This make and model of valve has been in use for over 30 years in the US market and has a great track record. I am happy with it. There are some things I do not like about being on warfarin, but I have no real dietary restrictions or activity restrictions. I can eat what I want and do what I want. I certainly do not regret the decision to get my mech valve.
Alcohol use also may affect your response to warfarin. Excessive use can lead to a sharp rise in your INR. It is best to avoid alcohol while you are taking warfarin.
I have been on warfarin for 6 months now for DVT, my INR should be between 2-3. It has been quite stable.
Make sure your Father keeps a check on his diet. Consistency is everything when taking Warfarin.
Stress, sleep changes, diet, other medication, even the time of day that the blood is taken can all affect the INR level.
I have the same history you do, of valve surgery and post-surgical HIT. You can take warfarin with a history of HIT. If you happen to have a mechanical valve, I'm sure you already are taking warfarin. If you're on warfarin, and you're wondering what to use for bridging, that would be Arixtra (fondaparinux). Fondaparinux is dispensed in syringes for subcutaneous injection, to be self-administered once a day. I've used it, and it's easy.
Also can you give me guidelines on the ann heart check with the cardiomyopathy. My EF is 53%, per stress test late last year. I was in heart failure when I got sick. I get min swelling in my lower legs, I gain 5lbs overnight when I miss a lasix dose. Take diovan 160mg BID, am allergic to ace inhibitors
I have begun swimming, but become very SOB very easily. Ten stairs in our home will somedays have me breathless for up to 20mins or more. I see a pulmonogist and take ++ asthma meds.
He s been on coumodin for about 12 yrs for his heart rythm or irregular heart beat. Over the past winter he had trouble swallowing, {IE food seemed to get stuck in his esophagus}. I took him to hospital where he visited a stomach and throat specialist.He was scheduled for a camera test down his throat, and was told he d have to cease taking coumodin 5 days in advance b/4 the scan which he did stop taking.
He was on dialysis for a 18 months before his dad gave him a kidney and now, 9 years later, that kidney is failing as well. He was in hospital for a month in Jan and landed up in ICU with blood clots in the lungs. He was given 4 blood transfusions but that has made no difference. He is on warfarin again (it was stopped last year Sept when he landed up in ICU with a nose bleed and got a blood transfusion, the warfarin was then stopped). Could it be his blood causing all these issues?
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