%0 Journal Article
%T Warfarin Compliance after Mechanical AVR in the Pediatric Population: Case Series from a Developing Country
%A Suha Zubairi
%A Mohammad Hassan Mirza
%A Mohammad Saad Iqbal
%A Mubashir Zareen Khan
%A Muneer Amanullah
%J World Journal of Cardiovascular Surgery
%P 184-190
%@ 2164-3210
%D 2022
%I Scientific Research Publishing
%R 10.4236/wjcs.2022.128014
%X <span style=\"font-family:Verdana;\"><u><span style=\"font-family:Verdana;\">Background and Aim</span></u></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">: Mechanical prosthetic heart valves exert a
lifelong thromboembolic complication requiring continuous antithrombotic
therapy. Vitamin K antagonist is the recommended therapy of choice along with
meticulous INR monitoring to achieve and maintain an INR of 2.0</span></span></span><span><span><span style=\"font-family:&quot;\"> </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">-</span></span></span><span><span><span style=\"font-family:&quot;\"> </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">3.0.
The study aimed to assess the compliance of anticoagulant therapy in pediatric
patients after AVR and to highlight the challenges faced during follow</span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">-</span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">ups.</span></span></span><span><span><span style=\"font-family:&quot;\"> </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><u><span style=\"font-family:Verdana;\">Methods</span></u></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">: A retrospective study was conducted at NICVD Hospital in Karachi,
Pakistan for a time frame of 2 years from 2020-2021 where 7 patients were
selected. Data w</span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">ere</span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"> collected using hospital medical records and then validated through a
phone call mediated structured questionnaire-based interview.</span></span></span><span><span><span style=\"font-family:&quot;\"> </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><u><span style=\"font-family:Verdana;\">Results</span></u></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">: 2 out of 7 patients in the case
%K Mechanical AVR
%K Warfarin
%K INR monitoring
%K Anticoagulant
%K Thromboembolic
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=119502