Anticoagulation and self-management of INR: mid-term results

  • Heinrich Körtke
  • J. Gummert


Following the implantation of a mechanical heart valve, permanent oral anticoagulation is a must. Despite progress in the development of artificial heart valves, thromboembolisms, and Marcumar-induced hemorrhages remain frequent complications after mechanical heart valve replacement. In the studies ESCAT I and II, we were able to show that INR self-management in conjunction with low-dose anticoagulation is able to reduce the rate of thromboembolism to 0.2% per patient/year and of hemorrhaging to 0.56% per patient/year [1]. The INR values measured by patients can now be monitored using telemedicine.


Heart Valve Anticoagulation Therapy Mechanical Heart Valve Artificial Heart Valve Electronic Patient File 
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Copyright information

© Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  • Heinrich Körtke
    • 1
  • J. Gummert
    • 1
  1. 1.Herz- und Diabeteszentrum NRWKlinik für Thorax- und KardiovaskularchirurgieBad OeynhausenGermany

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