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Interventional Cardiology (Expert Forum)
Coumadin complications and Heart valve question
Answered by
Truman Medical Center
MO
Questions in the Interventional Cardiology forum are answered by medical professionals affiliated with the Truman Medical Center. Topics covered include acute coronary syndrome, angina , atrial fibrillation , cardiac catheterization , cardiomyopathy , drug abuse & cardiac disease, echocardiography , heart failure , hypertension & heart disease , lipid management , minorities and heart disease, peripheral vascular disease prevention, valvular heart disease , women’s heart health, and the warning signs of a heart attack.
Coumadin complications and Heart valve question
by milo_1, Aug 20, 2008 03:06PM
What are the complications that come with Coumadin? I am 45, female, lifelong nonsmoker facing 2nd thoracic surgery. First had the Ross in 1997, now developed thoracic ascending aneurysm and the allograft is "shredded." I hear some people say its little more than a pain in the butt and I hear others say they cant get regulated, etc. Can you point me to a website or can you tell me what meds I cannot take with coumadin?
Second, I read about the Bjork-Shiley valves that were involved in class action suit. I want to make certain the valve I get is the right one for me. Are the St. Jude valves the best, is there a "best?" Are the St. Jude the only option in a mechanical valve?
Thank You in Advance
Second, I read about the Bjork-Shiley valves that were involved in class action suit. I want to make certain the valve I get is the right one for me. Are the St. Jude valves the best, is there a "best?" Are the St. Jude the only option in a mechanical valve?
Thank You in Advance
Doctor's Answer
by Douglas Bogart, MD, Aug 20, 2008 06:08PM
, Aug 20, 2008 06:08PMTo: milo_1
The best sites to learn about Coumadin and the various types of heart valve are 1. Cardiosmart 2. American heart association 3. Mayo Clinic patient information site.
The best mechanical valves are the St.Jude valve and the ATS valve. There are also other mechanical valves but the largest world wide experience is with these valves.
The best mechanical valves are the St.Jude valve and the ATS valve. There are also other mechanical valves but the largest world wide experience is with these valves.
Member Comments (3)
by milo_1, Aug 21, 2008 10:46PM
I checked the sites you mentioned, cardiosmart and AHA both gave general information only. I want to know what meds have trace aspirin elements in them that I will not be able to continue to take if I go on coumadin.
by Douglas Bogart, MD, Aug 22, 2008 05:58AM
, Aug 22, 2008 05:58AMTo: milo_1
Many times aspirin 81 mg daily is recommended to patients with mechanical valves. In terms of drug interaction ask your doctor for a Coumadin education packet as there are several of these the drug company supplies and they are quite good.
