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patient with haemorragic stroke and prosthetic valve needs anticoagulent. whats the option., 
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Cat:OpenClinicalForum:cdb59579-d995-4f9f-b0a7-85795a3c694e
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Forums » Open clinical » Stroke » anticoagulant

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Forums  »  Open clinical  »  Stroke  »  anticoagulant

anticoagulant

posted at 26/7/2012 8:55 PM BST on bmj.com
Posts: 312
First: 2/6/2012
Last: 10/5/2013
patient with haemorragic stroke and prosthetic valve needs anticoagulent. whats the option., 

Re: anticoagulant

posted at 13/8/2012 7:58 PM BST on bmj.com
Posts: 312
First: 2/6/2012
Last: 10/5/2013
In Response to Re: anticoagulant:
pl. add with post, patient with prosthetic valve is very prone to embolization and anticoagulant is mandatory. as patient has haemorrhagic stroke , warfarin is contraindicated. can we use low molecular weight heparin for this case,.
Posted by neuromedicine

Re: anticoagulant

posted at 17/8/2012 2:58 PM BST on bmj.com
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In Response to Re: anticoagulant:
In Response to Re: anticoagulant :
Posted by neuromedicine

Re: anticoagulant

posted at 17/8/2012 10:02 PM BST on bmj.com
Posts: 624
First: 13/4/2011
Last: 15/5/2013
Yes, We can use LMWH, like ENOXAPARIN.

They  are associated with less Hemorragic episodes.

All Best,

Joey

Re: anticoagulant

posted at 17/8/2012 10:38 PM BST on bmj.com
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First: 17/6/2011
Last: 17/5/2013
Can I ask what was the cause of the haemorrhage - clearly if an av malformation that you can coil versus amyloid angiopathy the risk / benefits of anticoagulation differ greatly? sadian

Re: anticoagulant

posted at 17/8/2012 10:53 PM BST on bmj.com
Posts: 312
First: 2/6/2012
Last: 10/5/2013
thanks joey RIO for nice post. i also think so.

Re: anticoagulant

posted at 18/3/2013 4:33 AM GMT on bmj.com
Posts: 312
First: 2/6/2012
Last: 10/5/2013
primarily intervention should be done whatever the cause of haemorrhage .anticoagulent for ischemic cvd prevention in high risk patients . so can we justify lmwh.

Forums » Open clinical » Stroke » anticoagulant