Dear Mr Venugopal,
Thanks for writing in. I read your mail with diligence.
I am a qualified and certified cardiologist. Acitrom
after Mitral Valve Replacement
has to be taken and monitored with INR-which reflects coagulation parameters (keeping it between 2-3). Unfortunately it could not be done. Now let us see how situation can be reverted. Answer to all your question lies in how good is his mitral valve is? Has he developed disseminated intravascular coagulation
(DIC)? Your doctor is right in saying it is all because of inappropriate or sometimes lack of dosing
of Acitrom in un monitored situation. Please show your brother to a medical specialist who deals with cardiology or cardiologist of nearest medical college. Then only we can find answers to your questions. Good Luck.
With best wishes.
Dr Anil Grover,
Medical Specialist & Cardiologist
M.B.;B.S, M.D. (Internal Medicine) D.M.(Cardiology)