Abstract
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.
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References
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Körtke, H., Gummert, J. (2010). Anticoagulation and self-management of INR: mid-term results. In: Yankah, C.A., Weng, Y., Hetzer, R. (eds) Aortic Root Surgery. Steinkopff. https://doi.org/10.1007/978-3-7985-1869-8_40
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DOI: https://doi.org/10.1007/978-3-7985-1869-8_40
Publisher Name: Steinkopff
Print ISBN: 978-3-7985-1868-1
Online ISBN: 978-3-7985-1869-8
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