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Cardiomypathy, ejection factor 28, triventricular defibrillator. Leep procedure done, ovaries removed. Adriamycin chemo taken, taking coumadin. Advise?

I had the Leep procedure done a week ago and starting bleeding yesterday and today. I have not had a period since 2004 when I had my ovaries removed. I have cardio myapathy and an Ejection Factor of about 28. The dr,s feel the damage from my heart was due to the Adriamycin Chemo drug I took after a right breast mastectomy. I am on Coumadin as I have had blld clots in my legs and lungs 2 years ago and they do not know why I developed them so I will always be on the drug. I also have a triventricular, defibrillator. i will call my doctor in the morning as I am concerned about the bleeding. Do you think I need to be more concerned about the bleeding?
Asked On : Sat, 30 Mar 2013
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Cardiologist 's  Response
malignancy cause DVT , which leads to pulmonary embolism. risks of bleeding is increased when most common side effect of warfarin is bleeding and risk increase when warfarin combined with antiplatelet drugs such as clopidogrel, aspirin, or other nonsteroidal anti-inflammatory drugs.
please do test PT/INR immediatly, and moniter regularly and maintain it between ( 2-3)

The effects of warfarin can be reversed with vitamin K, or, when rapid reversal is needed (such as in case of severe bleeding), with prothrombin complex concentrate—which contains only the factors inhibited by warfarin—or fresh frozen plasma (depending upon the clinical indication) in addition to intravenous vitamin
Answered: Sat, 30 Mar 2013
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