Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Ongoing Blood Loss. History Of Heart Failure, COPD, Kidney Disease, Irregular Heart Beat. On Warfarin. Risk Of Stroke If Taken Off Warfarin?
Hi tomorrow I'm meeting with my mothers doctors she has an ongoing blood loss which they found today in the small bowl (we think ) still to be confirmed she has had 3pints of blood in 9 days she has a lot of medical things wrong eg.. Heart failure , COPD, chronic kidney disease ,under active thyroid ,suffers with low blood pressure , has an irregular heart beat hence why she on warfarin 1mg daily plus all other medication ,the talk was to take her off the warfarin for couple of days to do a procedure on her heart for the irregular heart beat to take her off the warfarin for good my concern is the high risk of a Stroke what do you think
Tue, 17 Sep 2013
Dear Ma'm
The risk of stroke in an average patients with atrial fibrillation {AF}(irregularly irregular heart beat) is ~ 4.5% in one year. This is reduced to ~1.5% by warfarin therapy and to 2.5% by aspirin therapy.
However the risk is determined by many parameters in a given patient. It is more for certain conditions associated with AF like mitral valve disease or prosthetic heart valve.
Whenever they do procedure on heart for AF they stop warfarin and replace it with heparins. Last dose of heparin (LMWH) is given 24 hours prior to procedure.
Since there is an ongoing bleed it would be prudent to check the INR and take a decision after considering everything.
Sincerely
Sukhvinder
The risk of stroke in an average patients with atrial fibrillation {AF}(irregularly irregular heart beat) is ~ 4.5% in one year. This is reduced to ~1.5% by warfarin therapy and to 2.5% by aspirin therapy.
However the risk is determined by many parameters in a given patient. It is more for certain conditions associated with AF like mitral valve disease or prosthetic heart valve.
Whenever they do procedure on heart for AF they stop warfarin and replace it with heparins. Last dose of heparin (LMWH) is given 24 hours prior to procedure.
Since there is an ongoing bleed it would be prudent to check the INR and take a decision after considering everything.
Sincerely
Sukhvinder
I find this answer helpful
1 Doctor agrees with this answer
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Ketone
Loading Online Doctors....