AW: [HSF] Warfarin for rings

[Tea Acuff]

So much for the benign totalitarian as utopia, Bobs.

tea



----- Original Message ----
From: "Rwmfglycar at aol.com" <Rwmfglycar at aol.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Monday, May 5, 2008 3:51:57 AM
Subject: Re: AW: [HSF] Warfarin for rings


In a message dated 5/5/2008 3:24:34 A.M. Eastern Daylight Time,  
battr at medizin.uni-leipzig.de writes:

Even for  bioprosthesis eg. Perimount? Nothing?
You know, in Germany 2-3 months must  be given, as once a patient won a legal
cause because of hemiplegia, he was  not receiving warfarin.
We are allowed not to give after 80 years old to  avoid bleeding in the
elderly.
Roberto


Roberto when we did the Perimount trial in 1981-1983 early anticoagulation  
was optional. Less than 20% were anticoagulated. (The surgeons in the trial  
clearly thought for themselves).
The early mortality was low.. Guess what the commonest cause of death was  in 
the first few weeks?
It was pericardial tamponade  in patients who had returned  home on coumadin.
By the way are you saying that the guidelines in Germany are not  suggestions 
but edicts which must be obeyed?
Bob
Bob



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