[Reliable Quick value management by self determination].

F J Wittstamm; L Benesch

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PubMed · 1585716

[Reliable Quick value management by self determination].

F J Wittstamm·L Benesch

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Abstract

Because of the considerably increased risk of thrombembolic complications after implantation of mechanical heart valves, lifelong anticoagulation is required. In the face of frequently unsteady prothrombin-time (PT)-values, a stable anticoagulation is one of the most difficult tasks in attending patients with heart-valve-prosthesis. If PT is out of the therapeutic range, the risk of bleeding or of thrombembolism increases disproportionately. Two differently trained groups of phenprocoumon-treated patients monitored their PT themselves for 6 months by means of a coagulometer, and they also determined their weekly dose of phenprocoumon. PTs were therapeutic 80.5% resp. 93.8% of the time. Intensive training and care maximized safety of anticoagulation.

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Coumarins Heart Valve Prosthesis Humans Postoperative Complications Prothrombin Time Risk Factors Self Care Thromboembolism English Abstract Journal Article

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F J Wittstamm, L Benesch. 1992. [Reliable Quick value management by self determination].. https://pubmed.ncbi.nlm.nih.gov/1585716/

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