A member asked:

Should a stroke patient with the st. jude valve be put on just lovenox and taken off coumadin?

2 doctors weighed in across 2 answers
Dr. Douglas Arenberg answered

Specializes in Pulmonary Critical Care

This is common. : Warfarin (Coumadin) is often held for several days, typically for a procedure. A “bridge” strategy for those at higher risk for recurrence of a clot is sometimes used, one that can be stopped or reversed for the procedure, then restarted. The blood thinning effects of warfarin take too long to start/stop to permit this. Enoxaparin (Lovenox), is an excellent “bridge”.

Answered 2/24/2018

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Your: Treating cardiologist may decide on treating you with Lovenox only if problems arise with managing and monitoring and maintaining therapeutic INR. Studies due suggest non superiority of warfarin

Answered 2/24/2018

393 views

Thank

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