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Heart Disease (Expert Forum)
Use of Plavix ASA in lieu of Coumadin
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.
Use of Plavix ASA in lieu of Coumadin
by sgoldmd, Feb 14, 2003 12:00AM
I am a family physician involved in care of a patient with recent titanium valve replacement. He is +++++ sensitive to Coumadin and his INR bounces up and down such that I believe the risk outweighs the benefit. Will Plavix + ASA give "reasonable" anticoagulation ? If so please supply a reference if available.
Many thanks.
Many thanks.
Doctor's Answer
by CCF-M.D.-KE, Feb 15, 2003 12:00AM
Dear sgoldmd,
You are describing a patient with a mechanical heart valve who is experiencing fluctuations in his or her INR. Plavix and aspirin will not give this patient the degree of anticoagulation required for a mechanical heart valve. I would recommend sending this patient to a hematologist or a coumadin clinic where specialists in the area of anticoagulation can review genetic and/or dietary factors which may be affecting his response to coumadin.
Thanks for your question,
CCF-MD-KE
You are describing a patient with a mechanical heart valve who is experiencing fluctuations in his or her INR. Plavix and aspirin will not give this patient the degree of anticoagulation required for a mechanical heart valve. I would recommend sending this patient to a hematologist or a coumadin clinic where specialists in the area of anticoagulation can review genetic and/or dietary factors which may be affecting his response to coumadin.
Thanks for your question,
CCF-MD-KE
