A member asked:

Pat. with prosthetic heart valve on warfarin and developed ich and inr on admission 8. whow we manage?

4 doctors weighed in across 2 answers
Dr. Nassir Azimi answered

Specializes in Interventional Cardiology

Difficuly situation: Which valve is it. If it is mitral you have to correct coaguloapthy. You must get input from a neurosurgeon, a cardiologist and your primary care.

Answered 9/28/2016

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Complex problem: This is a serious situation. An inr of 8 (normal in the U.S. Being 1.0-1.2) is excessively high. The most life-threatening issue at this juncture is the ich and expansion of it. That needs to be corrected or at least lowered in an ICU setting. Once the ich is stabilized or operated upon one can then carefully re-institute the anti-coagulation

Answered 6/10/2014

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