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11- Cardiology Case

Discussion in 'Case Studies' started by John Jossef, Apr 9, 2011.

  1. John Jossef

    John Jossef Bronze Member

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    An active 78 years old female with history of hypertension presents with the new onset of left hemiparesis. Cardiac monitoring reveals atrial fibrillation. She had been in sinus rhythm on check up 3 months earlier. Optimal management at discharge includes a review of antihypertensive therapy. A ventricular rate control agent and which of the following?
    1- AICD/Permenant pacemaker to avoid the need of anticoagulation
    2- Immediate direct current anticoagulation
    3- Antiplatelet therapy such as aspirin without warfarin
    4- Antiplatelet therapy plus warfarin with a target INR of 1.5
    5- Warfarin with a target INR of 3.0

    From: Pre Test Medicine 12th
     

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  2. mogtaba m. osman

    mogtaba m. osman Well-Known Member

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    Re: Case Study 11

    5
     

  3. Guest

    Guest Guest

    Re: Case Study 11

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  4. Guest

    Guest Guest

    Re: Case Study 11

    I would say that she has to take some anticoagulant and antiplateled alltoghether for at least 5 days with an INR above 1.5 and below 3 in order to disolve the trombus and prevent it in the future....
     

  5. John Jossef

    John Jossef Bronze Member

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    Re: Case Study 11

    Answer: Warfarin with a target INR of 3.0
     

  6. shimaasobhi

    shimaasobhi Well-Known Member

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    Answer: Warfarin with a target INR of 3.0
     

  7. Rabia alvi

    Rabia alvi Well-Known Member

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  8. surein_md

    surein_md Well-Known Member

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    Antiplatelet therapy plus warfarin with a target INR of 1.5
     

  9. Dr J.Bo

    Dr J.Bo Well-Known Member

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    4- antiplatelet + warfarin
     

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