Loss of engagement in controlling chronic anticoagulation therapy during Covid-19 stringency measures. A single center experience of disproportioned increase of stuck mechanical valves
Stuck valve is a very rare and severe complication that occurs in mechanical valve replacement patients with ineffective anticoagulation. However, with COVID-19 restriction measures, it became challenging to regularly assess INR to make sure it falls within the target therapeutic range to prevent t...
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2021
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oai:doaj.org-article:bb8beffdb28c467b9f40280e1c639f8f2021-12-04T07:48:22ZLoss of engagement in controlling chronic anticoagulation therapy during Covid-19 stringency measures. A single center experience of disproportioned increase of stuck mechanical valves10.4081/monaldi.2021.20651122-06432532-5264https://doaj.org/article/bb8beffdb28c467b9f40280e1c639f8f2021-12-01T00:00:00Zhttps://www.monaldi-archives.org/index.php/macd/article/view/2065https://doaj.org/toc/1122-0643https://doaj.org/toc/2532-5264 Stuck valve is a very rare and severe complication that occurs in mechanical valve replacement patients with ineffective anticoagulation. However, with COVID-19 restriction measures, it became challenging to regularly assess INR to make sure it falls within the target therapeutic range to prevent this complication. We present a series of 10 patients who either underwent transthoracic echocardiography for a suspected stuck valve or were seen at the outpatient valve clinic with the residual consequences of a stuck valve during the COVID-19 restriction measures in our institute. Stuck prosthetic valves incident has increased significantly during this period, particularly those in the mitral position for which urgent replacement and prolonged hospitalization were necessary. Particularly with the COVID-19 restrictions in place, these cases highlight the need for physicians to be aware of the dramatic increase in the incidence of stuck prosthetic valves in patients on chronic warfarin therapy. Olga VrizAndrea Rossi ZadraAbdalla Eltayeb Fatima AsiriClaudio PragliolaNader FawzyDomenico GalzeranoKhalid FerasZohair AlhaleesAbdulhalim J. KinsaraFadl Elmula Mohamed Fadl ElmulaPAGEPress Publicationsarticlestuck valvecardiologychronic anticoagulantMedicineRENMonaldi Archives for Chest Disease (2021) |
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stuck valve cardiology chronic anticoagulant Medicine R |
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stuck valve cardiology chronic anticoagulant Medicine R Olga Vriz Andrea Rossi Zadra Abdalla Eltayeb Fatima Asiri Claudio Pragliola Nader Fawzy Domenico Galzerano Khalid Feras Zohair Alhalees Abdulhalim J. Kinsara Fadl Elmula Mohamed Fadl Elmula Loss of engagement in controlling chronic anticoagulation therapy during Covid-19 stringency measures. A single center experience of disproportioned increase of stuck mechanical valves |
| description |
Stuck valve is a very rare and severe complication that occurs in mechanical valve replacement patients with ineffective anticoagulation. However, with COVID-19 restriction measures, it became challenging to regularly assess INR to make sure it falls within the target therapeutic range to prevent this complication. We present a series of 10 patients who either underwent transthoracic echocardiography for a suspected stuck valve or were seen at the outpatient valve clinic with the residual consequences of a stuck valve during the COVID-19 restriction measures in our institute. Stuck prosthetic valves incident has increased significantly during this period, particularly those in the mitral position for which urgent replacement and prolonged hospitalization were necessary. Particularly with the COVID-19 restrictions in place, these cases highlight the need for physicians to be aware of the dramatic increase in the incidence of stuck prosthetic valves in patients on chronic warfarin therapy.
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| format |
article |
| author |
Olga Vriz Andrea Rossi Zadra Abdalla Eltayeb Fatima Asiri Claudio Pragliola Nader Fawzy Domenico Galzerano Khalid Feras Zohair Alhalees Abdulhalim J. Kinsara Fadl Elmula Mohamed Fadl Elmula |
| author_facet |
Olga Vriz Andrea Rossi Zadra Abdalla Eltayeb Fatima Asiri Claudio Pragliola Nader Fawzy Domenico Galzerano Khalid Feras Zohair Alhalees Abdulhalim J. Kinsara Fadl Elmula Mohamed Fadl Elmula |
| author_sort |
Olga Vriz |
| title |
Loss of engagement in controlling chronic anticoagulation therapy during Covid-19 stringency measures. A single center experience of disproportioned increase of stuck mechanical valves |
| title_short |
Loss of engagement in controlling chronic anticoagulation therapy during Covid-19 stringency measures. A single center experience of disproportioned increase of stuck mechanical valves |
| title_full |
Loss of engagement in controlling chronic anticoagulation therapy during Covid-19 stringency measures. A single center experience of disproportioned increase of stuck mechanical valves |
| title_fullStr |
Loss of engagement in controlling chronic anticoagulation therapy during Covid-19 stringency measures. A single center experience of disproportioned increase of stuck mechanical valves |
| title_full_unstemmed |
Loss of engagement in controlling chronic anticoagulation therapy during Covid-19 stringency measures. A single center experience of disproportioned increase of stuck mechanical valves |
| title_sort |
loss of engagement in controlling chronic anticoagulation therapy during covid-19 stringency measures. a single center experience of disproportioned increase of stuck mechanical valves |
| publisher |
PAGEPress Publications |
| publishDate |
2021 |
| url |
https://doaj.org/article/bb8beffdb28c467b9f40280e1c639f8f |
| work_keys_str_mv |
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