[INR self-management after mechanical heart valve replacement: ESCAT (Early Self-Controlled Anticoagulation Trial)].

@article{Koertke2001INRSA,
  title={[INR self-management after mechanical heart valve replacement: ESCAT (Early Self-Controlled Anticoagulation Trial)].},
  author={Heinrich H Koertke and Kazutomo Minami and Thomas Breymann and Dirk Seifert and A Baraktaris and O. Wagner and Georg Kleikamp and Aly el-Banayosy and Nikolas Mirow and Reiner Koerfer},
  journal={Zeitschrift fur Kardiologie},
  year={2001},
  volume={90 Suppl 6},
  pages={118-24}
}
Severe thromboembolic and hemorrhagic complications following mechanical heart valve replacement essentially occur due to intense oral anticoagulation and fluctuating individual INR values around the target range. INR self-management can help to minimize these fluctuations. Beginning this therapeutic control immediately after mechanical heart valve replacement further reduces anticoagulant-induced complications. Included in the study were 1200 patients. The quality of oral anticoagulation also… CONTINUE READING

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