Anticoagulation for the Pregnant Patient with a Mechanical Heart Valve, No Perfect Therapy: Review of Guidelines for Anticoagulation in the Pregnant Patient
المؤلفون المشاركون
Antoun, Patrick
Harris, Ciel
Richardson, Aaron
Shah, Stuart
McCulloch, Garry
المصدر
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-11-22
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Heart valve replacement with a mechanical valve requires lifelong anticoagulation.
Guidelines currently recommend using a vitamin K antagonist (VKA) such as warfarin.
Given the teratogenic effects of VKAs, it is often favorable to switch to heparin-derived therapies in pregnant patients since they do not cross the placenta.
However, these therapies are known to be less effective anticoagulants subjecting the pregnant patient to a higher chance of a thrombotic event.
Guidelines currently recommend pregnant women requiring more than 5 mg a day of warfarin be switched to alternative therapy during the first trimester.
This case report highlights a patient who was switched to alternative therapy during her first pregnancy and suffered a devastating cerebrovascular accident (CVA).
Further complicating her situation was during a subsequent pregnancy; this patient continued warfarin use during the first trimester and experienced multiple transient ischemic attacks (TIAs).
This case highlights the increased risk of thrombotic events in pregnant patients with mechanical valves.
It also highlights the difficulty of providing appropriate anticoagulation for the pregnant patient who has experienced thrombotic events on multiple anticoagulants.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Richardson, Aaron& Shah, Stuart& Harris, Ciel& McCulloch, Garry& Antoun, Patrick. 2017. Anticoagulation for the Pregnant Patient with a Mechanical Heart Valve, No Perfect Therapy: Review of Guidelines for Anticoagulation in the Pregnant Patient. Case Reports in Cardiology،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1143986
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Richardson, Aaron…[et al.]. Anticoagulation for the Pregnant Patient with a Mechanical Heart Valve, No Perfect Therapy: Review of Guidelines for Anticoagulation in the Pregnant Patient. Case Reports in Cardiology No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1143986
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Richardson, Aaron& Shah, Stuart& Harris, Ciel& McCulloch, Garry& Antoun, Patrick. Anticoagulation for the Pregnant Patient with a Mechanical Heart Valve, No Perfect Therapy: Review of Guidelines for Anticoagulation in the Pregnant Patient. Case Reports in Cardiology. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1143986
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1143986
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر